“Inspire. Innovate. Influence.” That’s the theme the American Nurses Association set for this year’s Nurses Week. But for much of our recent history, however, nurses have not been considered particularly influential or innovative—despite the fact that during the 19th and early 20th centuries, nurses organized hospital systems (Isabel Hampton Robb), designed the public health system and implemented school nursing and community-based care (Lillian Wald), and demonstrated improved outcomes (Mary Breckenridge).

Somehow, as health care became more technology and intervention focused, we were relegated into the “background”—the silent majority at the point of care, but rarely the ones consulted on strategies and planning decisions. (My take: we didn’t directly bring in the revenue to support the higher cost of high-tech care.)

A dawning realization that nurses matter.

But I feel things are changing. Organizations whose goals were driven by quality care began to shift perspective when it became clear that nurses made a big difference in whether those goals could be realized. And as government and insurance reimbursements became increasingly tied to quality, safety, efficiency, and patient satisfaction with care, nurses began to matter even more. We’ve also come to realize that our costly health care system is not meeting the needs for too many Americans.

Now nurses are more visible than ever before. RNs in many areas, from acute and critical […]