Several factors contribute to the lack of improvement in nursing practices. Key among them is the staffing shortages that many healthcare facilities face. The demand for nurses often outstrips supply, leading to burnout and fatigue among existing staff, which can hinder their ability to deliver high-quality care. Another factor is the resistance to change within organizations. Established routines and practices can create a comfort zone, making it difficult for nurses and administrators to adopt new methods or technologies. Additionally, limited access to continuing education opportunities can prevent nurses from staying up-to-date with the latest medical advancements and best practices.