The nursing profession consists of different group of individuals who practice nursing using specialized and unique body of knowledge. Medical surgical nursing is one of the branches of nursing which deals with care of adult. Medical surgical nursing is the backbone of every institution. The changes which occur in health care arena reshape health care delivery system and bring many difficult challenges and extraordinary opportunities to nurses. The medical surgical nurses also need to recognize these changes and prepared to face these challenges by acquiring knowledge and skills in specific area.

{"references": ["Smeltzer, S. C. & Brenda. G, Text Book of Medical Surgical Nursing, (10th edn), New York, Lippincott William and Willkins, pp. 1628-1631, 2047-2051.", "Black, J. M., Hacoks, J. H., & Annabelle, M. (2003), Medical Surgical Nursing, (6th edn), London, W.B. Saunders Company, pp. 575-576.", "Gebbie. M.K (2002), \"Holding Society and Nursing Together\", Am J Nurs., Volume 102, Issue 9, DOI: https://doi.org/10.1097/00000446-200209000-00045"]}