RT Journal A1 O'Neil E, Seago J T1 MEeting the challenge of nursing and the nation's health JF JAMA JO JAMA YR 2002 FD October 23 VO 288 IS 16 SP 2040 OP 2041 DO 10.1001/jama.288.16.2040 UL http://dx.doi.org/10.1001/jama.288.16.2040 AB 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