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This article highlights the gap between wellness in nursing practice and the mission statement of the Institute of Medicine’s Future of Nursing Report. It explores wellness from 3 philosophical arguments, provides a historical evolution of wellness, and explores nurses’ current understanding of wellness. Future directions for implementing wellness in nursing practice are provided for science, education, and leadership. KEY WORDS: disease prevention, Institute of Medicine Future of Nursing Report, health promotion, wellness in nursing Holist Nurs Pract 2012;26(3):129–136
The Future of Nursing Report published by the Institute of Medicine (IOM) symbolizes a paradigm shift in health care delivery from sick care to well care.1 The IOM envisions a health care system where nurses intentionally promote wellness and disease prevention and improve health care outcomes throughout the lifespan.1 The nursing profession is well recognized for the role of disease prevention and health promotion as established in the seminal article of Donaldson and Crowley2 to the recent Future of Nursing Report from the IOM.1 Within the scope of nursing practice, the words “health,” “health promotion,” and “wellness” appear to be used interchangeably. Florence Nightingale, Virginia Henderson, and Margaret Newman developed frameworks that conceptualize wellness; however, wellness is not clearly defined within these theories.3–6
Nurses’ ability to achieve the mission of the IOM and intentionally promote wellness is limited by the absence of a universally recognized understanding of
Author Affiliation: School of Nursing, Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts.
The author thanks Elizabeth P. Howard, PhD, RN, ACNP, associate pro- fessor, School of Nursing, Bouvé College of Health Sciences, Northeastern University, for her time and support in editing the manuscript for publication.
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