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Family Nursing: Challenges and Oppotunities: The Challenge and Opportunity of Complex Uncertainty

I believe the most significant challenge we currently face in family nursing is that of complex uncertainty. Advances in technology, increased acuity rates in hospital and community settings, the trend of specialized care, and the way in which corporatization of health care is shaping health care decisions including allocation of resources are just a few of the factors that have contributed to health care becoming an increasingly complex enterprise. At the same time, people and families today are incredibly complex. What actually constitutes family has turned into a complex issue with everyone from politicians, religious institutions, and special interest groups arguing their different perspectives. There is no longer a unified or certain truth about family. One just has to look at the recent debate in North America about same-sex marriages to glimpse the complex uncertainties inherent in families today. Because of what is playing out in the larger society, there is little that is straight forward in family nursing today. Nurses are routinely faced with complex, uncertain situations. Who and what a family is, what families experience, what they value, what they need or want, and what ultimately is effective in promoting their health is complex, uncertain, and often fluctuating. These complex and uncertain circumstances raise questions about the very core of our work as family