Management adjustment--a glimpse into the future structure of care.

This article projects some of the impacts of the almost overwhelming expansion of all forms of science on the health care system as cues to the type of education and professional careers that will be needed by nurses to keep in step with the surging change. With everyone being in a state of instant obsolescence, nurses will have to be open to rapid change (as will all other types of clinicians) to utilize this unending flow of new science, both physical and behavioral, to the benefit of each individual patient in the most sophisticated format for each. It is as strong an ethical issue as can be faced because it demands internal commitment.