Our answer is ‘‘Yes, Nursing does have a future’’ . . . if our society perceives its usefulness, it will ask for its professional services, and if nurses will know how to value their own competences so that they may respond effectively to the new and changing needs of the population. The population’s future healthcare demand is increasing due to emerging global phenomena such as aging and chronic illnesses, causing serious issues of financial sustainability in many countries. In the future, along with the hospital services, there will be the need to have a well-structured network of community services to ensure healthcare continuum to all. In addition, there could be a change in the composition of the different professional profiles within the health workforce, with less physicians and the need to rethink the roles and the scopes of practice of other health professionals. Many studies have highlighted the important role nurses play, especially highly educated nurses, in improving patient outcomes. More nurse practitioners will have to provide besides care, taking directly care of patients (or better persons) and their informal carers/caregivers. There will be no future for nursing if its deep relationship is lost with the sick person (the ‘‘infirm,’’ which is the root of the Italian word for nurse ‘‘infermiere’’) and does not rediscover the great value of caring for the human body, according to the concept of ‘‘embodiment.’’ Nursing actions must continue to bear a high ethical value paying attention to the dignity and autonomy of the person, to the vision of the human being seen both individually and globally, and to the defense of human life in any circumstance and condition. Higher education needs to be reinforced, especially in the clinical field, so that it may stimulate innovation and research, as well as prepare professionals capable of providing high-quality care. It must be able to prove what is the added value and the real advantages of a nurse’s independent professional practice within the framework of healthcare systems that are radically changing. This scenario also offers new opportunities for the development of nursing, which would, however, need to be supported by its leadership to generate and value new competences. The latter would need to be addressed in order to respond effectively to the new and changing healthcare needs of the population and at the same time be pragmatic and flexible enough to adapt to new contexts and situations. The ethical conduct expected from nurses redeems them from the old role of mere executors of prescriptions made by others and encourages nurses to develop and assert their dignity as professionals, equipped with their own relational, educational, and technical competences.
[1]
Marianna Diomidous,et al.
Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study
,
2014,
The Lancet.
[2]
C. Begley,et al.
Policy-makers' views on impact of specialist and advanced practitioner roles in Ireland: the SCAPE study.
,
2014,
Journal of nursing management.
[3]
A. I. Gomes,et al.
Assessment of nursing students and nurses' orientation towards patient-centeredness.
,
2014,
Nurse education today.
[4]
S. Kelleher,et al.
Strategies in the Promotion of Nursing as a Career among Second Level Students: An Irish Perspective
,
2013
.
[5]
Jeannie P. Cimiotti,et al.
Effects of Nurse Staffing and Nurse Education on Patient Deaths in Hospitals With Different Nurse Work Environments
,
2012,
The Journal of nursing administration.
[6]
K. Tomajan.
Advocating for nurses and nursing.
,
2012,
Online journal of issues in nursing.
[7]
Jeannie P. Cimiotti,et al.
Effects of Nurse Staffing and Nurse Education on Patient Deaths in Hospitals With Different Nurse Work Environments
,
2011,
Medical care.
[8]
M. Douglas.
Opportunities and challenges facing the future global nursing and midwifery workforce.
,
2011,
Journal of nursing management.
[9]
S. Izumi.
Educating nurses: A call for radical transformation
,
2011
.
[10]
D. Sellman.
What Makes a Good Nurse: Why the Virtues are Important for Nurses
,
2011
.
[11]
J. Higgins.
Reconfiguration of acute hospital services, Cork and Kerry: a roadmap to develop an integrated university hospital network
,
2010
.
[12]
B. Foley,et al.
The nature of advocacy vs. paternalism in nursing: clarifying the 'thin line'.
,
2009,
Journal of advanced nursing.
[13]
A. Gallagher,et al.
Ethics in professional life
,
2009
.
[14]
M. Johnstone,et al.
Ethics in Nursing Practice: A Guide to Ethical Decision Making
,
2013
.
[15]
A. Gallagher,et al.
Ethics in Professional Life: Virtues for Health and Social Care
,
2008
.
[16]
A. Armstrong.
Nursing Ethics: A Virtue-Based Approach
,
2007
.
[17]
J. Oulton,et al.
The Global Nursing Shortage: An Overview of Issues and Actions
,
2006,
Policy, politics & nursing practice.
[18]
B. Dierckx de Casterlé,et al.
Nursing Considered as Moral Practice: A Philosophical-Ethical Interpretation of Nursing
,
1998,
Kennedy Institute of Ethics journal.
[19]
P. Lister.
Interpretative Phenomenology - Embodiment, Caring, and Ethics in Health and Illness P Benner Interpretative Phenomenology - Embodiment, Caring, and Ethics in Health and Illness SAGE 372pp £19.95 0-8039-5723-8
,
1994
.
[20]
Jenifer Wilson-Barnett,et al.
Ethics in Nursing: the Caring Relationship
,
1987
.