The document discusses the future of nursing and predictions for the profession over the coming decades. It predicts that (1) new diseases and bioterrorism threats will emerge, treatments and technologies will advance, and patients will be discharged more quickly, requiring more home care. (2) Nursing will become more specialized to match trends in medicine. (3) Nurses will work in clinics, expand their scope of practice, and provide more services directly to patients and families. The document also outlines developments in nursing education, practice, and research that are shaping the future of the profession.