Why niching down beats writing about everything

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Start With This
“I long to accomplish a great and noble task, but it is my chief duty to accomplish small tasks as if they were great and noble.”
— Helen Keller, author and activist
A Good Read
Today I’m widening the lens for nurses wondering what, besides freelance writing, might fit them. It usually starts with one wrong thought: “I don’t know anything special.”
You do. You’re just too close to see it. The knowledge worth paying for rarely feels remarkable to the person who has it, because you’ve done it for years. To you it feels like a Tuesday. The work isn’t becoming more of an expert. It’s finding the slice of what you already know that solves one problem for one person.
Here’s how to find that slice:
- Watch the questions people keep asking you. New nurses on time management, coworkers on how you solved something, patients asking you to explain a diagnosis again. When the same question keeps coming, that’s demand.
- Notice where people keep struggling. New grads drowning in documentation, families lost in discharge instructions. The knowledge worth paying for sits where someone’s frustration meets something you understand cold.
- Don’t wait for another credential. It can help, but lived experience often matters more, because it carries the nuance no textbook captures.
- Get specific about who it’s for. Not “patients,” but “people with substance misuse issues,” “clinicians delivering telehealth,” or “American expats in Mexico navigating healthcare” (a real project by one of my students).
- Narrow the problem, and sell the outcome. “Helping people with diabetes” is vague. “Helping people with diabetes get enough fiber each day” gets paid. People don’t buy information; they buy a result.
A common trap is going broad. “Nurse coaching,” “health education,” and “leadership development” are categories, not offers. The ideas that work are narrow: a study system for the PCCN exam, a mini-course on fiber for people with diabetes, a roadmap for the Mexican health system.
Pick the one that feels clear, manageable, and a little energizing, and build from there, right alongside the job you already have.
Read the full post: How to Identify What Part of Your Nursing Knowledge is Monetizable
One Small Step
Two steps this week.
First, write down the question coworkers, new grads, or patients ask you about most often, the one you’ve answered so many times you could do it in your sleep.
Second, make it smaller: not “wound care,” but “explaining wound care to an adult daughter caring for her parent.” That narrower version is the start of a niche only you can fill.
Something Worth Knowing
For the nurses already writing: when people picture freelance health writing, they picture consumer content. Articles for a health website, blog posts for a clinic, the kind of thing you read in a waiting room. That’s real work, but it’s the lower-paying end, and it’s where many nurse-writers stay without realizing there’s another room.
The other room is B2B (business-to-business): writing for companies, not the general public.
Who pays, and why it pays more:
- The buyers. Insurers, medical device makers, health-tech startups, and the marketing agencies that serve them. They run a steady stream of white papers, case studies, and clinician-facing explainers.
- The reason. A consumer article supports a website’s traffic. A B2B piece supports a sale worth far more than any single article, so the company cares about getting it exactly right and has the budget to back that up.
- The filter. The work asks for real clinical depth, which thins the field of writers who can do it. Fewer qualified writers, higher stakes, bigger budgets. That’s why the rates climb.
So why do many nurse-writers miss it?
- The language. Words like B2B and retainer sound like a different profession, so curious nurses skim past them.
- The visibility. B2B work rarely shows up in a public byline you can stumble onto, so it stays invisible until someone points at it.
- The nerve. It feels presumptuous to write for a device company after a few consumer pieces. It isn’t. They want exactly what you have: someone who understands the clinical reality their product lives in.
B2B rewards specialists, not generalists. The closer your niche sits to your clinical specialty, the more obvious a fit you are. Your bedside specialty isn’t a limit on this work. It’s the door in.
Take This With You
Going narrow feels like turning work away. It’s the opposite. A nurse who writes about everything sounds like everyone. Own one specific corner and you become the person clients come looking for. Pick your corner. You can widen it later, but you’ll never stand out by starting wide.