Association Between Activities of Daily Living Profiles and Memory Decline in Community-Dwelling Older Adults Without Cognitive Impairment: An Observational Panel Study.

The healthcare sector is experiencing unprecedented digital transformation, fundamentally challenging established professional boundaries and traditional models of care delivery (Topol ). This paper argues that digital transformation presents nursing with a critical opportunity to establish a sustainable professional identity grounded in facilitative expertise, moving away from contested claims to exclusive knowledge domains toward recognition of nursing's distinctive capabilities in information navigation, relationship facilitation, collaborative expertise, and system navigation. Unlike medicine, which has successfully established clear jurisdictional boundaries around diagnosis and treatment, nursing's professional project remains contested and incomplete (Allen ). The International Council of Nurses (ICN) defines nursing as “a profession dedicated to upholding everyone's right to enjoy the highest attainable standard of health, through a shared commitment to providing collaborative, culturally safe, people‐centred care and services” (ICN ). This definition emphasises that “nursing's practice is underpinned by a unique combination of science‐based disciplinary knowledge, technical capability, ethical standards, and therapeutic relationships.” However, digital transformation challenges how these therapeutic relationships are enacted and requires reconstruction of nursing practice within technologically mediated healthcare environments whilst maintaining the profession's commitment to “compassion, social justice and a better future for humanity.” Abbott's () analysis of professional projects demonstrates how occupational groups establish legitimacy through control of specialised knowledge domains. Medicine exemplifies this model, having achieved professional dominance through clear diagnostic authority, prescriptive powers, and systematic control over medical knowledge (Freidson ). Nursing, however, presents a more complex case, struggling to define and defend unique professional territory within this same framework (Allen ).