Nilima has significantly impacted nursing leadership by playing a pivotal role in establishing the Goa Nursing Council (GNC) and advocating for nurses’ rights and professional development. She demonstrates innovative leadership in addressing hospital infrastructure issues and emphasises collaboration for the well-being of healthcare professionals and patients.

As a Staff Nurse, Nilima improved wound care strategies and supported migrant and cancer patients through fundraising and medication coordination. Her dedication reflects her commitment to holistic patient care and healthcare enhancements.

Nilima has enriched nursing education with workshops on diabetic foot care and infection control during the pandemic. She organised state conferences on innovation in nursing and healthcare. Her involvement in projects like the SIDA project and the Baby-Friendly Hospital Initiative underscores her commitment to broader healthcare issues, particularly maternal and infant health.