The confluent issues that create the current crisis in nursing in the
United States are complex, interrelated, and long-term in their nature. A
number of recent studies and reports point to a common set of concerns including
an aging professional population, a shrinking cohort of entry-age workers,
increasing economic pressure on the hospital care setting (a large cohort
of aging baby boomers who will need and demand more hospital-based care),
new health care and information technology, changing nature of work in general,
new life and work values for workers, and a historical sense of disenfranchisement
by the general nursing population from the decision-making process in health
care, particularly in the in-patient setting.1- 3
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