Acknowledge the Paradoxes and Advance the Profession

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EXECUTIVE SUMMARYThe delivery system in the United States is multifaceted, convoluted, and interrelated; one aspect cannot be changed without looking at its entirety.One of the most important characteristics of a learned profession is the ability to hold opposing ideas as true.As we engage in health reform, nurses will be more effective in shaping a system which actually makes people whole by not holding all ideas as certain and final.Nursing's task is to develop the language for a delivery system that is truly patient centered, longitudinal, relationship based, available 24/7, in person and online, delivered by a joyful workforce who employs evidence based care.

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