Conectar
In this commentary, I consider the disparity between the care we see as a necessity for cancer patients and the lack of care we afford to many persons with chronic disease.
I ground my arguments in my own clinical practice and research experiences over a 50-year period augmented by reference to available literature sources.
In tracing developments within the fields of cancer and chronic illness care, I draw on my own research and that of others.
Although chronic illness has long been recognised as causing the majority of the burden on our health care systems and as a significant source of suffering in our society, it has not attracted the level of enthusiasm from researchers, policy makers, and health care systems that we have seen in the context of other diseases such as cancer. Nurses have an intimate knowledge of the suffering occasioned by chronic illness; however, it has been difficult for nursing to mobilise coordinated action in prioritising a re-balance of health systems to better serve those with chronic conditions.
The advent of medical assistance in dying in Canada has shed a spotlight on the implications of the discrepancy between our prioritising patient need in the care and support of patients with conditions such as cancer, in contrast with the supports and services we make available to those with chronic conditions.
Although nursing intimately engages with the burden of chronic illness, it has not mobilized coherent advocacy toward strengthening our societal commitment to this aspect of our care systems.
There is an opportunity for nursing to make a meaningful difference in a fundamental health care system inequity if we can come to understand that chronic illness is as deserving of our collective research, practice change, and policy attention as is cancer.
No patient or public contribution.
To examine the paradox of representation without power in nursing leadership and to highlight how gendered hierarchies persist in academic, clinical, and policy arenas despite nursing's predominantly female composition.
Existing systems of evaluation and promotion often reproduce inequities by undervaluing relational and collaborative leadership styles—forms of leadership intrinsic to nursing practice. This commentary draws on global and contextual perspectives to advocate for accreditation and institutional metrics that integrate equity indicators and recognize inclusive leadership as a marker of excellence.
Advancing gender equity in leadership is both an ethical and strategic imperative. Embedding equity education and inclusive leadership development within nursing curricula from the earliest stages of professional formation is essential to reshape the future of nursing leadership.
Promoting gender equity in leadership will strengthen nursing's contribution to health systems, enhance organizational resilience, and advance equitable patient care.
To critically reflect on the 50-year evolution of nursing in Singapore, identify pivotal milestones that have shaped the profession, and discuss strategies to address emerging challenges over the next five decades.
Nursing in Singapore has evolved from a vocational, subordinate role into a respected profession grounded in higher education, evidence-based practice and leadership in clinical and policy domains. Reforms in education, professional identity, workforce development and technology have paved the way for addressing future challenges, including ageing populations, workforce sustainability, technological disruption, leadership equity and global health threats.
Discursive commentary informed by historical analysis, policy developments and published literature, focusing on nursing education, workforce, leadership and digital integration in Singapore.
Strategic investments in education, research and leadership have elevated nursing's status and scope, with milestones such as tertiary education, advanced practice roles and doctoral pathways enabling nurses to serve as autonomous clinicians, researchers and policy leaders. Sustaining progress will require preparing nurses for multimorbidity and healthy ageing, embedding digital competencies while preserving human connection, ensuring inclusive leadership and enhancing global research translation.
Singapore's unique blend of innovation and tradition positions it to lead in shaping the future of nursing. By adopting a systems-level approach that integrates education reform, workforce wellbeing, ethical technology adoption and global collaboration, nursing can transform emerging challenges into opportunities for national progress and international impact.
This commentary offers insights for policymakers, educators and healthcare leaders on how a mid-sized nation can strategically position its nursing workforce for future readiness. Lessons from Singapore's trajectory, particularly in education reform, leadership cultivation and technology integration, apply to other countries seeking to enhance nursing's role in achieving health equity and system resilience.
None.
To examine the evolution of intensive care nurses’ roles in pharmacological haemodynamic management from 1975 to 2025 and to explore projected responsibilities through 2075.
A scholarly commentary.
A critical synthesis of literature, historical accounts and clinical guidelines spanning 1975–2025, focussing on nursing practice, technology, workforce dynamics and patient safety in critical care pharmacology.
CINAHL, PubMed, EBSCO, Embase, Cochrane, Google Scholar and major pharmacological guideline repositories were searched for sources between 1975 and 2025, including clinical trials, systematic reviews, position papers and qualitative studies.
Nurses have progressed from unstandardised vasoactive medication titration to advanced, protocol-driven multimodal vasopressor strategies. Milestones include the early catecholamine era, nurse-led sepsis protocols and contemporary adoption of peripheral vasopressor practices supported by technology. Looking ahead, intensive care nurses will increasingly supervise technologically driven titration, manage multimodal regimens, address drug shortages and sustain resilience amid workforce pressures.
Over the past five decades, nurses have transformed vasopressor management and remain essential in bridging innovation with ethical, patient-centred care. The next 50 years will require advanced decision-making, technological fluency and improved support for the nursing workforce.
Investment in simulation-based education, workforce supports and ethical frameworks is vital to prepare nurses for expanding responsibilities and ensure patient safety.
Historical variability and future challenges in nursing roles for vasopressor management.
Nurses have driven safety and innovation and will face increasing technological, ethical and workforce demands.
Relevant to critical care nurses, nurse educators, nurse leaders and policy-makers worldwide shaping the future of critical care practice.
FreshRSS 