The existence of a theory-practice gap in nursing in the United Kingdo
m has been an issue of concern for many years. However recent events h
ave resulted in a new dimension of the theory-practice gap emerging. T
his paper explores the origins af the contrasting values attributed to
nurses and health care managers and identifies areas of conflict. It
is argued that the theory-practice gap in nursing is being compounded
by a more fundamental divergence of approaches to the delivery of heal
th care and that this represents a major challenge to nurse educators.
Nursing is at a crossroads in its development, and if it is to surviv
e it must incorporate some elements of the new managerialism whilst de
monstrating to managers the importance of recognizing professional val
ues, The future of nursing can be secured, but it will involve partner
ship and cooperation with the new managers.