Abstract
Cost and caring are both dimensions of holistic nursing practice. Each is a term that is complex and ambiguous yet assumed to be simple and well understood. Nurses need to examine the specific embedded assumptions of cost and caring; measure each; and demonstrate their inter-relationship and effects on patient outcomes. Integral to caring is "professional vigilance," which cannot be delegated; attempts to do so may incur future hidden costs. Nurses are urged to be alert to cost-shifting that affects caring and quality. Advocacy for cost-effective caring practices is urged through participation in governance structures.
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