Nursing as a profession needs to adjust to its changing status and power in the context of social and health policy. This book provides an up-to-date account of the current influences within nursing and health care which are helping to define the future role of nurses. It begins by exploring the nature of nursing within an historical context and examines the theme of caring as central to the image of nursing. It goes on to look at the realities of current working practice brought about by demographics and the Patients Charter. The organisation of nursing work is reviewed and critically evaluated, and the book discusses the influence of key issues and factors which have contributed to the development of the nursing role. The book concludes by drawing together the themes within the book and outlining possible paths for future development. This is a valuable textbook for nursing students at all levels.