Nursing remains at the top of the job growth market and has the potential to positively or negatively impact changes in the delivery of health care today. Professional nurses play a crucial role in the prevention of medication errors, decreasing infection rates, and facilitating a patient's safe transition from acute care into the home environment. Nurses must make critical life-saving decisions associated with caring for the more acutely ill patient. Doctoral prepared nurses have the unique position to assist the direct care nurse because of their advanced education. The doctor in nursing practice concentrates on direct care, specifically research utilization for improved delivery of care, patient outcomes, and clinical systems management There is a future shortage of doctoral prepared nurses, and a resolution is needed. Doctoral prepared nurses with advanced degrees play an important role in mentoring the bedside nurse to promote an interdisciplinary collaborative relationship. The doctor in nursing practice has the ability to effect change in health care systems, organizations, and policy through focusing on the essence of nursing-the care.