Nurses and physicians have always shared responsibility for patients, but until recently, the physician has usually considered the nurse his delegate to carry out explicit orders and in general to make the patient more comfortable. Although the exceptional nurse has always recognized a separate role, this has been limited to a rather small segment of the nursing profession. Those who entered the field of public health in its early development were quick to see a unique content and a separate responsibility in planning with, and teaching, patients Hospital nurses too have been concerned with "doing for the patient, or teaching him to do, or teaching someone to do for him, those things which he would ordinarily do for himself if he had the strength, or the will, or the knowledge or the motivation," but this concept has not been universal.
With the rapid expansion of the content of medicine and
Reader GG, Schwartz DR. Joint Planning for Patient Care. JAMA. 1967;201(6):364-367. doi:10.1001/jama.1967.03130060038010