With rapid changes in science, technology, management, and economic pl
anning, new challenges confront nursing. The author specifies some of
the ramifications related to changes in the health care delivery syste
m in general and in nursing in particular. The human becoming theory i
s discussed as a guide to nursing practice and research and is specifi
ed as a way to fortify nursing's identity. Some challenges for those l
iving and learning the theory in practice and research are also discus
sed.