Nurses, midwives and health visitors are often constrained by structures that limit development and innovation. (Blair, 1999)

At the beginning of this book it was stated that, in spite of being the largest professional group within the health services, nursing, as a profession, is anxious and insecure about its future. It shouldn't be. As the authors of the previous chapters have shown, given the opportunity, nurses can effectively and efficiently advance service delivery to meet a broad spectrum of health and illness care need. Given the right kind of education, management and legislative support they could be a significant force in meeting healthcare demands in this new century (Adebadjo, 1998).