Several challenges can impede effective nursing policy making: - Resource Limitations: Lack of funding and resources can hamper the development and implementation of policies. - Resistance to Change: Nurses and other healthcare providers may resist new policies, especially if they feel it adds to their workload or disrupts established practices. - Complexity of Healthcare Systems: The intricate nature of healthcare systems can make it difficult to implement uniform policies. - Political Influences: Policies can be swayed by political agendas, which might not always align with the best interests of patients or healthcare providers.