External influences placed upon nurses working in universities and in clini
cal practice require them to attract research funding, carry out research,
generate new knowledge and publish in national and international journals.
While there does not appear to be an agreed, unified body of nursing knowle
dge, critical and scholarly debate is essential to generate knowledge, but
this is not an activity in which the majority of nurses can effectively par
ticipate. Nevertheless, nurses in the Western world are free to communicate
their research, theories or ideas, essentially uncensored, to a vast invis
ible audience, and there is global dissemination through a vast array of li
terature and educational materials. This paper challenges nurses to examine
the implications of globalization and suggests that the continuing debate
on the nature of nursing knowledge should be updated to include considerati
on of both a change in philosophical stance and the far reaching effects of
global dissemination of information. (C) 2000 Harcourt Publishers Ltd.