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UVA Health University Medical Center Chief Nursing Officer and UVA School of Nursing Associate Dean, Clinical Affairs Kathy Baker, PhD, RN, NE-BC, FAAN, also is serving as the President of the Virginia Nurses Association (VNA). Her timely President's Message is published in Virginia Nurses Today:

'At the Forefront of Patient Care'

The healthcare landscape is facing unprecedented uncertainty over the next several years. Factors such as regulatory changes, evolving technologies, shifting patient expectations, and global health challenges all contribute to a sense of unpredictability. Many of these factors already have begun to influence our healthcare environments, while the impact of other factors is only beginning to unfold. This leaves nurses in the complicated reality of knowing that the way we work today — will not be the way we work in the future.

Nurses — at the forefront of patient care — may wonder what they can depend on as the healthcare industry transforms. Fortunately for the nursing profession, there are six constants that clinicians can rely on, providing strategies and perspectives to help navigate the coming years with confidence and resilience:

1. Commitment to Patient-Centered Care
Regardless of external changes, the foundational principle of patient-centered care remains unchanged. Clinicians always can rely on their dedication to improving patient outcomes, advocating for patient needs, and maintaining empathy and compassion in practice. Building strong patient relationships and focusing on individualized care will continue to be the cornerstone of effective healthcare.

2. Evidence-Based Practice
Amid changing guidelines and emerging treatments, reliance on evidence-based practice is constant. Nurses can trust the scientific process, peer-reviewed research, and clinical guidelines to inform their decisions. Staying up to date with nursing literature and professional development ensures that patient care remains grounded in the best available evidence.

3. Professional Collaboration and Support Networks
Collaboration with colleagues and participation in professional networks offer stability in uncertain times. Interdisciplinary teamwork, mentorship, and engagement in professional associations provide nurses with resources, shared knowledge, and emotional support. These connections foster resilience and adaptability, helping nurses weather industry shifts together.

4. Commitment to Lifelong Learning
Healthcare is an ever-evolving field. Nurses can rely on their commitment to lifelong learning — whether through continuing education, attending conferences, or participating in training programs. Adaptability and the willingness to update skills and knowledge are key assets that will remain relevant regardless of external changes.

5. Ethical Standards and Professional Values
The ethical frameworks and core values that guide clinicians are enduring. Principles such as integrity, confidentiality, respect for patient autonomy, and non-maleficence provide a dependable foundation for decision-making and professional conduct. In times of uncertainty —these values serve as a compass, helping nurses navigate complex situations.

6. The Power of Technology — With Caution
While technology is transforming healthcare rapidly, nurses can rely on established digital tools that enhance patient care such as electronic health records, telemedicine, and diagnostic software. However, it's important to approach new technologies critically, ensuring they are evidence-based and beneficial to patients and workflows. With thoughtful implementation and design — the technological advances in our future can transform our work in a positive way.

The Role of VNA

VNA plays a critical role in advocating for and supporting nurses, especially during periods of uncertainty and constant change. It can amplify the voices of nurses in multiple ways. By engaging with policymakers at state and national levels, VNA ensures nurses' concerns are heard and addressed, particularly when rapid changes or new regulations impact their work environment. Currently, VNA is collaborating with other state healthcare organizations to foster legislative work to address workplace violence.

VNA also continues to work collaboratively with the Virginia Hospital and Healthcare Association to foster the development of staffing committees and ensure safe staffing in all Virginia organizations. During uncertain times, continuous education is vital. VNA can provide up-to-date information on best practices, new protocols, and emerging health threats through conferences and a library of resources. This helps nurses stay informed and competent in delivering quality care despite evolving circumstances.

Staying Informed

Nurses often face increased stress and emotional strain during times of constant change. VNA can offer support and other resources to help nurses maintain their mental and emotional well-being. Clear and timely communication is essential in uncertain times. VNA can keep nurses informed about policy changes, safety guidelines, and available resources through newsletters, email alerts, and social media updates. This reduces confusion and empowers nurses to respond effectively to new challenges.

Making Connections

Connecting nurses with their peers fosters a sense of solidarity and shared purpose. VNA can facilitate networking events where nurses can offer support and learn from one another. Acknowledging the hard work and dedication of nurses is especially important during difficult times. VNA helps organize recognition programs, awards, and public appreciation campaigns to boost morale and highlight the vital contributions of nurses to the health of the community.

Reliable Anchors

By prioritizing advocacy, education, mental health, communication, community, recognition, and resource accessibility — VNA can be a strong pillar of support for nurses facing uncertainty. These efforts not only help nurses navigate challenges, but also strengthen the overall healthcare system in Virginia.

Uncertainty in healthcare is inevitable, but nurses are equipped with several constants that provide stability and direction. By focusing on patient-centered care, evidence-based practice, collaboration, lifelong learning, ethical standards, and prudent use of technology — nurses can maintain confidence and resilience. These pillars will serve as reliable anchors as the healthcare industry continues to evolve.