Twenty-first century realities affecting healthcare are dramatically and radically
changing the landscape for nursing practice.
1
Much of the intensive and comprehensive professional and role development for the
entire field of nursing grew out of the focused action of nursing leaders during the
20th century. These efforts directed to the development and maturation of the profession
occurred in an industrial-era context, reflecting many of the values, constructs,
and work processes of the age. Even the conceptual and contextual framework that guided
the development of nursing thought, principles, and practices was grounded in the
Newtonian processes that were the earmarks of the industrial age.
2
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© 2010 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
