In August 2014, 50 nursing leaders came together in Baltimore for a summit meeting on Nursing Ethics for the 21st Century. They had set for themselves an ambitious agenda that could culminate in changing the nation’s health care culture so that it more strongly supports basic ethics principles and more effectively enables nurses to practice more ethically. That long-term process starts with changing work environments for nurses across the board.
For many reasons, the environments in which nurses work are changing rapidly, yet one core principle holds constant: nurses’ desire to serve their patients, families, and communities while fulfilling nursing values. These systemic changes create new opportunities for organizational arrangements and work designs that enhance the practice of nursing and ensure that the next generation of nurses can have meaningful careers in service to others.
While many observers of U.S. health care lament what is broken about our system, the summit participants concentrated on describing ways in which nursing as a profession could have a positive influence in four critical domains: clinical practice, education, research, and public policy. They laid out a specific blueprint and identified initial steps, which can be found on this website. And they made commitments to carry on this work—to themselves, to each other, and to the profession they revere.
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