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Nursing in the health care system of the postmodern world: crossroads, paradoxes and complexity


Ada Spitzer Department of Nursing, Rambam Medical Centre, Haifa 31096, Israel.


Entering the postmodern world in which society is confronting crossroads, paradoxes, and complexity, the health care system is encountering a transformation more comprehensive and revolutionary than has ever been seen before. Analysis of the state of nursing vis a vis these transformations indicates that the current paradigm does not ensure the existence of the profession in the postmodern health care system. That is because of increased difficulties in consolidating the economic and quality issues into the core of nursing, and in understanding the complexity inherent in health related situations.