The future of nursing and holistic care.

摘要

In November 2010, the Robert Wood Johnson Foundation, in collaboration with the Institute of Medicine, published its report, The Future of Nursing: Leading Change, Advancing Health.1 This report focused on 4 major issues: (1) extending nurses the right to practice independently as they were educated particularly in advanced practice roles; (2) improving the educational system to encourage progression to advanced levels; (3) partnering with physicians and other professionals to redesign the US health care system; and (4) collecting and mining data to more effectively inform health policy and workforce development.On the face of it, the report appears to be a rehash of what many health care leaders have said about the importance of the nursing profession in the transformation of health care. Delve deeper, and the report is a revolutionary call to action, an evidence-based road map on how nurses can catalyze the change that will improve the health of the nation. Included in the report are data from The Pearson Report,2 indicating that credentialed advanced practice nurses can practice independently, without the "collaborative" blessing of a physician in more than one-third of states in the United States.