A major factor in the growing crisis in health care is the serious shortage
of nurses in practice and education. The current work force shortage is di
fferent and more critical than previous cyclical deficits. Because it is pr
ojected to be of unprecedented severity and to endure long into the future,
it demands significant attention and innovation. Nurses in clinical practi
ce and in faculty roles are growing older, and the nursing work force in ge
neral is becoming relatively less educated. A strong nursing work force of
the future will require new approaches to recruitment, preparation, and ret
ention of nurses, interdisciplinary partnerships, and infusion of support f
rom a variety of sources.