Remembering Nightingale in her turbulent times: Introducing the Theory of Integral Nursing in our turbulent times.

Aim: To connect selected examples from Florence Nightingale's life with concerns for the distress nurses are experiencing worldwide.

Background: We live in turbulent times of disease, armed conflict, vast climate change, and social injustice-factors exacerbating illness and impacting health-factors Nightingale also addressed throughout her life.

Sources of evidence: The Theory of Integral Nursing (TIN) is introduced with related examples of nursing's problems and solutions seen through integral lenses at the individual, group, grassroots, and global levels. Illustrating these points, relevant Nightingale quotes and life narratives illustrate how she responded, in her time, to the challenges we face in our time.

Discussion: Leading reflections focus on changes needed within nursing's culture to encourage proactive innovations and public advocacy for the challenges nurses face-for nurses to be seen and heard.

Conclusion: Nurses are a potentially significant force to bring our trusted caring and compassion for suffering into advocacy for a better world.

Implications for nursing practice: Nightingale's vision for maintaining excellence in 'sick-nursing' practice is described with a corresponding aim to develop 'health-nursing' practices to address the causes of illness and injury through public advocacy.

Implications for nursing and health policy: Recommendations connect Nightingale's hope for future policy leadership with recent global policy calls to sustain positive change within nursing's culture and the global healthcare workforce.