Four unresolved issues of importance to nurses in this era of biopsychosocial nurs ing are considered in this article. These issues are as follows: first, nature versus nurture; second, matters related to community and family nursing; third, primary and advanced practice nursing; and fourth, external versus internal regulation of nurses. Each issue is considered in a historical context, as well as with a contempo rary perspective. It is suggested that the resolution of these four issues are central to the dialog and debate that will shape the future of psychiatric nursing. (J AM PSYCHIATR NuRsEs Assoc [1995]. 1, 92-96.)
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