This knowing results in actions that guide patients and groups in making choices and decisions that promote personal and group growth. The nurse-patient relationship is a dynamic, evolving and transforming partnership, grounded in trust and truth. It flourishes in an environment that is sensitive to the uniqueness of the person or group and includes attention to biophysical, cultural, and spiritual dimensions of both. The intentional presence of the nurse is essential for coming to know and understand what it means to be human and humans in relationship. This knowledge provides the basis for the mutual selection of interventions that can promote health and self-determination.
Nursing practice occurs within a socio-political environment.
As a discipline, nursing continues to make visible the role it plays in problem solving and decision making. Nursing demonstrates the effectiveness for the health of a society of a practice that achieves outcomes of personal growth for individuals and groups, promotion and evaluation of change, self-knowing, and personal and social transformation. It is essential that the contributions of nursing be described within the framework of quality and cost effectiveness. Nurses use language that has collaborative acceptance in order to justify contributions to care that are recognized by sources of funding for health care. Nursing knowledge, both theory and research, are used to inform health care policy and provide the basis for nurses' voice for change and social reform.