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Nursing for the twenty-first century
Patricia Edwards
Grand Canyon University

August 05, 2012

Nursing for the twenty-first century
Nursing in the twenty first centaury will be very different from the practice of the last one hundred and fifty years. Nursing education and employment has been primarily at the bedside and influenced by institutions and the medical model. In the last 40 years significant progress has been made on the requirements for entry level practice, development of advanced practice education, nursing leadership roles, and a greater emphasis on more diversity in nursing, it was becoming evident that a larger more cohesive direction for nursing was needed to meet the needs of the twenty-first century. In 2008, The Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) launched a two-year imitative to respond to the need to assess and transform the nursing profession. The IOM appointed the Committee on the RWJF Initiative on the Future of Nursing, at the IOM, with the purpose of producing a report that would make recommendations for an action-oriented blue print for the future of nursing (IOM 2010 para. 2).
Nursing Education
The argument on the entry level of nursing has been ongoing since 1965, when the American Nurses Association published its paper declaring the Bachelor of Science in Nursing should be the requirement for the professional nurse. The unavailability of university programs and qualified instructors to advance this proposal has stagnated and lead to a much slower growth than first anticipated. The introduction of the Medicare Act of 1965 and the onslaught of the Viet Nam Conflict lead to a greater demand for registered nurses to fill the shortage there was a dramatic increase in the associate degree programs. The associate degree programs had several advantages over baccalaureate programs. They

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