The focus of this years’ International Nurses Day (ICN) is Our Nurses. Our Future. The economic power of care. The International Council of Nurses (ICN) states that:

“Despite being the backbone of health care, nursing often faces financial constraints and societal undervaluation. IND 2024 aims to reshape perceptions, demonstrating how strategic investment in nursing can bring considerable economic and societal benefits.”

This week Editor in Chief, Alison Twycross ( and Deputy Editor Jane Wray ( highlight journal content to demonstrate the difference a well-educated nursing workforce can make to patient care and safety.

On International Nurses’ Day 2024, we call for strategic investment in the nursing workforce, an issue highlighted in their our editorial1.

Good for patients. Good for our communities.

At a time of increasing patient complexity and demand for care, a highly educated and skilled workforce is crucial. The relationship between nurse education and improved patient outcomes has long been apparent. Hospitals in which 60% of nurses had bachelor’s degrees had lower mortality rates than that those in which 30% of nurses had a degree2. Despite more and more evidence emerging to  support this the issue continues to be debated, disputed and sometimes even overlooked. Why is this? Garcia and Qureshi’s3 editorial on nurse identify and the misrepresentation of nursing in the media discusses these issues in greater detail.Those with expertise in what is good for patients and our communities, and what education, training and working conditions they need to deliver this. They are also experts in their own professions’ future and this needs to be centre stage of The NHS England Workforce plan4.

We invest. We retain.

Increasing the number of advanced clinical practitioners (ACPs) within the UK healthcare workforce to improve both patient outcomes and service delivery was discussed in a recent commentary by Wood and Hyde5.  Allocating resources to the promotion of evidence-based practice improves patient care and also increases nursing engagement and decreases staff turnover6.  The reasons staff leave are well known and evidenced; workload, low morale, dissatisfaction, burnout, moral distress, professional discrimination, pay and limited access to continuous professional development and career progression7, 8, 9,10 . We need to ensure that the learning environment for students is focused on support11, wellbeing10  and better collaboration at ‘all levels, in all processes’ between universities and healthcare providers contributes also to a future healthy workforce12.


The evidence is clear, investing in the development of the nursing workforce leads to high quality safe and effective care and better patient outcomes.  Improving working conditions and environments, high quality education programmes, continued professional development throughout nursing careers will help re-shape perceptions of nurses and nursing. At first glance, this may appear ‘costly’ to those who manage the relevant budgets. However, the cost of not investing is much much higher.


Twycross A, Wray J NHS England long-term workforce plan: Can this deliver the workforce transformation so urgently needed or is it just more rhetoric?FREE Evidence Based Nursing 2023, 26 (4) 125-127; DOI: 10.1136/ebnurs-2023-103807

Aiken LH , Sloane DM , Bruyneel L , et al . Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study. Lancet 2014; 383:1824–30. doi:10.1016/S0140-6736(13)62631-8

Garcia R. Qureshi I Nurse identity: the misrepresentation of nursing in the media Nurse identity: the misrepresentation of nursing in the media Evidence-Based Nursing ( Evidence-Based Nursing 2024;27:48-49.

Zhang N, Casas B Professional discrimination toward nurses increases nurse silence threatening patient safety outcomesEvidence Based Nursing, 2022, 25 (4) 133; DOI: 10.1136/ebnurs-2021-103474

Mills M Collaboration between universities and nursing placement providers is essential to ensure the well-being of the future nursing workforce Evidence Based Nursing Jul 2022, 25 (3) 92; DOI: 10.1136/ebnurs-2021-103444

Olasoji M Coping strategies and resilience in students should be supported by nursing curricula Evidence Based Nursing Jul 2022, 25 (3) 90; DOI: 10.1136/ebnurs-2021-103471

The post EBN Highlight – International Nurses Day 2024: Increased and sustainable investment in nurses and nursing is key to the health and wellbeing of our nations. appeared first on Evidence-Based Nursing blog.


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