title: Acknowledge the paradoxes and advance the profession.
abstract: The 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.
authors.forename: Eileen
authors.initials: E
authors.lastname: O'Grady
mesh_terms: D003695:Delivery of Health Care; D006291:Health Policy; D009726:Nurses; D014481:United States