This issue features an interesting article on ethical palliative family nursing care, for which you can get continuing education credits. Our other articles discuss professional accountability for primary care nurses and use of the Institute ofMedicine report on the future of nursing in responding to healthcare reform. As we go to press, the election is less than 2 weeks away. Regardless of the outcome,we can be sure that healthcare will continue to be the focus of continued national attention. It is our hope that these articlesmay be of help to readers in continuing to navigate these rapidlymoving tides.As always, your comments and input are welcome. Fasten your seatbelts; if one thing is certain, it is that more change is sure to come!