Healthcare systems are in a state of flux and change (Casabonne & Kenny 2012, Naylor & Naylor 2012). Globally, there are pressures to meet the increasing and diversifying healthcare needs of individuals and populations.Contemporary healthcare delivery must be responsive to epidemiological transitions, increasing globalisation and the intensifying politicisation and scrutiny of health care (Casswell 2012). Nurses have a choice- to either be passive recipients of reconfigured healthcare systems or be change agents applying their skills to assure that healthcare models are person-centred, interdisciplinary, evidenced based and outcome focussed.In 2008, The Robert Wood Johnson Foundation and the Institute of Medicine in the United States launched The Future of Nursing initiative to address
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