The focus of health and wellness is the responsibility of every member of society. Each individual person should take responsibility for their own health to the upmost of their ability. This can only be accomplished in partnership with healthcare professionals, governments and other members of the community. When one member of society is ill it places an economic and social burden on all the members of a population (Nash, & Pracilllo, 2011). Chronic illness is paid for out of tax dollars, sick days, lost of talent given to the community and time and energy of caregivers (McIntosh, 2011). The health burden of the United States belongs to each and every citizen. The health of the world is greatly affected by each of its members. By improving the overall health of the entire world everyone health is improved. To have healthy societies, fresh water, healthful adequate food, disposal of waste, fresh air and adequate housing, is essential must for the continued survival and health of the entire world (Nash, & Pracilllo, 2011). The world through improved transportation, increased population and technology are greatly impacted by the health practice of each other (McIntosh, 2011).

      One of the greatest responsibilities belongs to health care professionals (Pender, Murdaugh, & Parsons, 2011). Members of the health care industry have the duty to share their unique knowledge with the public. At this time communication between health care services and professionals is extremely poor, based on current technology (Pender, Murdaugh, & Parsons, 2011). Furthermore 180,000 preventable deaths are related to hospital errors annually (Calhoun, 2006). In no other industry in the world would such a failure rate be acceptable (Calhoun, 2006). Health care professionals are obligated by the profession and the oaths they have taken to care for the public’s health. The use and creation of tools to link health care professionals such as pharmacist, doctor offices, hospitals, dentist, long-term care and home health is vital part of creating a healthier society (Nash, & Pracilllo, 2011). The leadership in health care has an obligation to society to implement and use technology to its full potential.

     The American associations of the college of nurses are leading the way in education a generation of nurses on improving the quality and safety of health care (American of association of college of nursing, 2014). The association is leading a national effort to educate nurses on the tools and knowledge, to create systems within the health care industry to promote safe, patient centered, cost effective care (American of association of college of nursing, 2014). AACN are creating ways to incorporate and educate graduate nurses through, workshops, web seminars, developing quality and safety competences to be standardized in all nursing programs. Areas of focus are patient centered care, team work and collaboration, evidence –based practice, quality improvement, safety, informatics, and call to action (American of association of college of nursing, 2014).

    

 Christian nurse have a duty to share their talent for nursing with the public. God gives each one of his children, passions and talents while on this earth. God expects that as Christians, we employ are gifts to contribute and advance his kingdom. The gift of a college education and nursing can serve, God through improving the health of his children. “For unto everyone that hath shall be given, and he shall have abundance, but from he that hath not shall be taken away even that which he hath (Mathew, 25:14 -30).

     Society is greatly influenced by the actions and beliefs of its members. The culture of a society can be greatly influenced by each member. The behaviors, actions, attitudes, are transmissible among social groups (Patterson, Maxfield, McMillian & Switzler, 2011). The health belief model is one method that is used to change the culture in order to change health beliefs through education (Pender, Murdaugh, & Parsons, 2011). It is important when educating about health that cultural considerations are understood and part of the model to be effective (Pender, Murdaugh, & Parsons, 2011).

    The health and wellness of society begins in one of the corner stones of society, the family (McIntosh, 2011). Behaviors patterns are established for a life time in the few years a child spends at home (McIntosh, 2011). To improve population health voters and government officials must pass laws that protect this fundamental pillar in society. Due to inactivity, poor nutrition, inadequate sleep and increased stress, doctors are diagnosing children with illness that were once only thought a problem for the elderly (McIntosh, 2011). Research demonstrates good health behaviors that are modeled and practiced by the family are of the greatest influence to their children (McIntosh, 2011). The health of the nation begins in the home and policy and laws must support the family as a foundation of society.

     A focus on the quality and safety of health care for the population involves a change of mindset, the change in current health practice and current health care design (Nash, & Pracilllo, 2011). Current practice in medicine is the treatment of disease (Nash, & Pracilllo, 2011).  China has one of the highest rates of longevity and their citizens remain free of disability as they advance in age (Yang, 2006). Traditional Chinese medicine and culture was focused on preventive medicine (Yang, 2006). The older generations of Chinese’s people feel that it brings disgrace on them and others to have people accomplish tasks they can do for themselves (Yang, 2006). One example is it is a recent trend to have foot massages to promote health (Yang, 2006). This is a practice that is mostly done by younger generations of Chinese (Yang, 2006). The older generations believe that once you stop doing a task for yourself, you will lose the ability (Yang, 2006). A Chinese proverb sums up the importance of diet in the health of the country “He that takes medicine and neglects diet, waste the skill of the physician” (Yang, 2006). The elderly were not considered a burden as they aged but, an asset of wisdom to the family” (Yang, 2006). When the Chinese started moving towards a more, Westernized approach to illness, acute medical problems were improved but, but health over the lifespan was decreased” (Yang, 2006). The elderly were being forgotten in long –term homes and due to decrease physical activity and diet the youth had greater disability (Yang, 2006).  To improve the populations overall health a greater concentration must be placed on preventative medicine (Nash, & Pracilllo, 2011).

     Leadership in the health care industry must look to other businesses that have successfully improved safety in their industry. One method that has proven to successfully measure outcome in health care, is Six- Sigma (Calhoun, 2006). Six-Sigma is a methodology that has proven successful at decreasing cost, improving safety and eliminating waste throughout the business world (Calhoun, 2006). Six-Sigma is a systematic approach that evaluates practice to eliminate defects in process and aims for near perfection of 99.9%, through the analysis of data (Calhoun, 2006).

     The achievement of a safer, high quality, cost effective health care system will require a multilevel approach, by the leaders in health care (Calhoun, 2006). The health care industry will have to undergo organizational changes that support more open communication and collaboration among it team members (Glembrocki, Fitzapatrick, 2013). Health care industries are looking at design changes; examples are Pathways and Magnet to improve education, quality, collaboration and communication among nursing staff. The care provided will have to become more patient and culturally centered, with an emphasis on patient education and prevention of health complications (Glembrocki, Fitzapatrick, 2013). With the increase use of technology, a greater need will be place on the relationship with the patient so that the health care received is appropriate and safe (Glembrocki, Fitzapatrick, 2013). This initiative is being addressed through programs such as relationship base care (Glembrocki, Fitzapatrick, 2013).  The health care teams of the future will require greater, technical, communication, collaboration skills that ever before in the history of medicine (Glembrocki, Fitzapatrick, 2013). 

     To provide safe, affordable, available health care will require diligence and accountability. Health is more than the absence of disease (Glembrocki, Fitzapatrick, 2013). Health in society can be measured in the population by, infant mortality rates, access to affordable health care, crime rates, clean water supplies, sewage disposal, education scores, mental health availability, management chronic disease, available transportation and number of communicable disease to name a few (Nash, & Pracilllo, 2011). In hospitals safety quality are being measure by the rates of hospital acquired infections, falls, bedsores, sentinel events, customer surveys, and safety inspections (Nash, & Pracilllo, 2011).  Heath is a complicated subject that is not easily measured. Health is also about the quality of life. Life without, God social support, meaning, and love is just existence. The growth of knowledge about health is growing at expediential rates. This will require great fortitude, research, learning and perseverance, on the future leaders in health care and the world to provide robust, safe place for the human race.