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An analysis of the efforts of American nurses to establish nursing as an academic discipline and nurses as valued researchers in the decades after World War II. Nurses represent the largest segment of the U.S. health care workforce and spend significantly more time with patients than any other member of the health care team. Dr. Nurse probes their history to examine major changes that have taken place in American health care in the second half of the twentieth century. The book reveals how federal and state health and higher education policies shaped education within health professions after World War II. Starting in the 1950s, academic nurses sought to construct a science of nursing—distinct from that of the related biomedical or behavioral sciences—that would provide the basis for nursing practice. Their efforts transformed nursing’s labor into a valuable site of knowledge production and proved how the application of their knowledge was integral to improving patient outcomes. Exploring the knowledge claims, strategies, and politics involved as academic nurses negotiated their roles and nursing’s future, Dr. Nurse highlights how state-supported health centers have profoundly shaped nursing education and health care delivery.
The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Consists of papers presented at a conference sponsored 1968-73 by the Western Council on Higher Education for Nursing; 1974- by the Western Society for Research in Nursing; issues for 1993-2008 contain also addresses and abstracts of the WIN Assembly.