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Thinking about tomorrow for nursing: changes and challenges.

Many changes will be forthcoming in planning and implementing nursing practice in community-based settings in the future. Nursing education will experience major challenges in planning and developing curricula as a response to more mature people becoming nurses for the first time. Clinical practice "without walls," a change from what we have traditionally known, will require creative approaches toward bringing nurse colleagues along who have only practiced in institutions. This article is intended to stimulate new ideas and solutions for nursing to meet new challenges brought on by health care reform.