Under the New Double High-level Vocational Colleges Initiative，higher vocational nursing education remains pivotal to “Healthy China” yet faces persistent dilemmas：vague strategic awareness，misaligned training objectives，insufficient educational transformation，weak openness，and limited social service capacity. These drawbacks trigger structural conflicts including active school participation paired with passive enterprise engagement，high admission rates accompanied by poor employment outcomes，and overemphasis on theoretical learning at the expense of practical competency，ultimately creating a disconnect between nursing talent output and healthcare industry demands. This study adopts a literature review approach supplemented by a case study. Based on a systematic review of policy documents and relevant research，combined with employment data and preliminary practical exploration，this paper proposes that deeper industry-education integration and comprehensive digital transformation serve as core pathways. Focusing on the “Five Golden Elements”—specialties，courses，teachers，materials，and training bases—it suggests concrete measures：building industry-collaborative platforms，integrating AI and virtual simulation into teaching，developing materials aligned with “post-course-competition-certification” integration，and establishing virtual-real smart training bases. These efforts aim to systematically enhance vocational nursing education quality，cultivating skilled professionals who are “proficient in nursing，knowledgeable in intelligence，and competent in care”，so as to underpin the high-quality development of the healthcare sector and advance Chinese-style modernization.
