Abstract

The beginning of a new year and the coming of the millennium are both signals of impending change. The Journal heralds that change with this first issue of 1999 bearing a different look (cover and format) and a new title. The past decade has seen nursing leadership eroded through varying organizational structures, hospital mergers and downsizing. The ranks of nursing have been all but decimated through reengineering and the introduction of non professional workers. Cracks in the profession and the health care system are beginning to show and demand attention from the public.

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