Many healthcare organizations say they value nursing professional practice. They include it in strategic plans, professional practice models, or Magnet^® journeys. Yet two questions are left unanswered: What does nursing professional practice actually look like? How do you recognize it when you see it? 

The answer is both simple and complex at the same time. Professional practice isn’t found in mission statements, organizational charts, or committee structures. It reveals itself in the everyday decisions, behaviors, and actions of nurses who view themselves not simply as employees performing tasks, but as professionals advancing patient care and the nursing profession itself. 

In our previous article, Professional Practice in Nursing: It’s Time We Start Owning It, we explored why professional practice is far more than a title or department, it is an identity and a commitment to excellence. This article builds on that foundation by examining how nursing professional practice comes to life at the bedside, within teams, and across healthcare organizations. 

Nursing Professional Practice Calls For Clinical Judgment 

One of the clearest signs of nursing professional practice is the ability to exercise sound clinical judgment. Professional nurses do far more than complete tasks or follow orders. They assess, synthesize information, anticipate complications, and recognize subtle changes long before technology signals concern.  

Professional practice is visible when a nurse says: “Something isn’t right here.” It is evident when a nurse questions an order that doesn’t align with the patient’s condition or advocates for a different course of action based on evidence, experience, and clinical expertise. It is this clinical judgment that is one of the defining characteristics of professional nursing practice. Tasks can be delegated; clinical judgment cannot. 

Nursing Professional Practice Requires Lifelong Learning 

Professional nurses understand that graduation is not the end of learning; it is the beginning. Healthcare continues to evolve, bringing new evidence, technologies, treatments, and expectations. Maintaining professional excellence requires an ongoing commitment to learning and growth. If I only knew now what I knew when I graduated many years ago and had not expanded upon that baseline knowledge, I might be viewed as a hazard to patient care. 

Professional nurses seek opportunities to continuously grow their knowledge and expand their expertise through: 

• Attaining specialty certifications 

• Completing continuing education 

• Participating in Conferences and meetings   

• Attaining advanced degrees 

• Completing professional reading and scholarship 

• Participation in professional organizations 

Professional nurses ask questions, seek feedback, and remain curious. They understand that healthcare changes rapidly and that maintaining expertise requires intentional effort. They don’t learn because someone requires it. They believe in lifelong learning because their patients deserve it. 

Nursing Professional Practice Encourages Clinical Inquiry 

Professional nurses never stop asking why. They challenge assumptions and examine practice through a lens of curiosity. They ask: 

• Why do we do it this way? 

• What does the evidence say? 

• Is there a better approach? 

• What can we learn from our outcomes? 

Clinical inquiry is the foundation of evidence-based practice, nursing research, quality improvement, and innovation. 

Organizations that cultivate nursing professional practice create environments where questions are welcomed rather than discouraged, where challenging the status quo is viewed as a professional responsibility rather than an act of resistance and where organizations ensure resources exist to support this. 

Nursing Professional Practice Means Accountability 

Accountability is often misunderstood as blame. Professional accountability is something entirely different. It is ownership: of practice, standards, patient outcomes, and personal and professional growth. 

Nurses want autonomy to practice at their highest level. Professional nurses recognize that with that professional autonomy comes professional accountability. The two cannot exist independently. 

Nursing Professional Practice Includes Peer Accountability 

One of the defining characteristics of a profession is self-regulation. Professional nurses not only hold themselves accountable, but they also hold one another accountable. That may mean: 

• Coaching a colleague 

• Offering feedback 

• Mentoring a new nurse 

• Addressing behaviors that compromise standards or patient safety 

• Supporting peers during difficult situations 

Professional accountability is protective and not punitive. It protects patients, colleagues, and the integrity of the profession itself. 

Nursing Professional Practice Creates Influence 

Professional nurses do not simply participate in healthcare, they improve it through a wide variety of ways including: 

• Serving as preceptors and mentors 

• Contributing to evidence-based practice initiatives 

• Participating in quality improvement work 

• Sharing ideas 

• Solving problems 

• Shaping decisions that affect patient care and the profession as a whole 

Professional practice is not simply doing the work; it is improving the work for everyone around them. 

Nursing Professional Practice Requires Advocacy 

Advocacy has always been central to nursing. Professional nurses advocate for: 

• Patients and families 

• Colleagues and teams 

• Safe care environments 

• Resources necessary for quality care 

• Changes in healthcare at the local, state and national level 

• The nursing profession itself 

Advocacy requires courage. Speaking up, challenging unsafe practices, influencing policy, and protecting patients are all essential expressions of nursing professional practice.  The two are inseparable. 

Nursing Professional Practice Enhances Professional Identity 

Perhaps the clearest sign of professional practice is how nurses view themselves. Do they see themselves as employees completing assigned work? Or, instead, do they see themselves as professionals entrusted with advancing care, improving outcomes, and strengthening the profession? That distinction matters.  

Because professional practice is not defined by what nurses do. It is defined by how nurses think about their role, their responsibilities, and the impact they have on patients, colleagues, organizations, and the profession. Professional identity influences every decision that follows. 

Organizations Must Create Environments Where Nursing Professional Practice Thrives 

While professional practice begins with individual nurses, it cannot flourish through individual effort alone. Even the most engaged professionals struggle when organizational systems fail to support learning, innovation, collaboration, and shared decision-making. When organizations say they value professional practice, they should ask themselves these important questions: 

• Are we creating environments where these behaviors can flourish? 

• Do our nurses have opportunities to: 

• Learn 

• Question 

• Influence decisions 

• Innovate  

• Grow 

Professional practice does not happen by accident. It requires intentional investment, supportive leadership, and systems that enable professionals to practice to the full extent of their knowledge, judgment, and expertise. 

Nursing Professional Practice Requires More Than Individual Excellence 

Clinical judgment. Lifelong learning. Curiosity. Accountability. Advocacy. Influence. Professional identity. These are the behaviors that bring nursing professional practice to life every day. Yet, individual excellence alone is not enough. Healthcare organizations must intentionally build cultures supported by leadership practices and systems that empower nurses to practice to the full extent of their knowledge, expertise, and professional judgment. 

In our previous article, we explored why nursing professional practice matters. In this article, we’ve examined what it looks like in action and how to recognize it. The next question is equally important: 

What organizational structures make nursing professional practice possible? 

In the next article in this series, we’ll explore the infrastructure healthcare organizations must build to support, sustain, and strengthen nursing professional practice for the long term. 

Ready to Strengthen Nursing Professional Practice Across Your Organization? 

Building a culture of nursing professional practice doesn’t happen through a single initiative or committee. It requires intentional leadership, supportive structures, and opportunities for nurses to develop, lead, and influence practice every day. 

At Creative Health Care Management (CHCM), we partner with healthcare organizations to create the environments where nursing professional practice can thrive. Whether you’re just beginning to define your professional practice model or looking to strengthen an established culture, our experienced consultants provide practical, evidence-based guidance tailored to your organization’s goals. 

Our solutions include: 

• Professional Practice consulting to strengthen professional identity, nursing practice environments, and organizational culture.  

• Shared and Professional Governance consulting that empowers point-of-care nurses, strengthens shared decision-making, and develops future nurse leaders.  

• Leadership development programs that equip leaders to build cultures where professional practice flourishes.  

• Magnet^® and Pathway to Excellence^® consulting that aligns professional practice with nursing excellence, quality outcomes, and organizational performance.  

• The Interprofessional Relational Model™ (Formerly Relationship-Based Care^®) Implementation to help create a united culture where shared ownership leads to exceptional outcomes across your entire organization. 

• Educational workshops and speaking engagements designed to inspire, educate, and equip nursing leaders and teams.  

Because professional practice isn’t simply something organizations talk about, it is something they intentionally build.

Explore CHCM’s Professional Practice and Nursing Excellence solutions to discover how we can help your organization create a culture where nurses, leaders, and patients all thrive. 

Frequently Asked Questions About Nursing Professional Practice

Gen Guanci

Gen is driven by the desire to help clients create organizational excellence through measurable improvement. She thrives on helping others reach meaningful goals, including Magnet® designation.

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