Demonstrate how this career choice requires special individuals with a special skill set to achieve and maintain the goals of the medical-surgical field. From using their powerful voices (Lattavo, 2014) to profoundly influencing health care for decades to come (Singleton, 2010), Lattavo and Singleton taught me that medical-surgical nurses are one of the hardest working groups. Singleton proves this by writing about the continuing changes in the roles of medical-surgical nurses and how to prepare for the future through research, education, practice and advocacy (Singleton, 2010.) The use of these tools will help medical-surgical nurses stay connected. to the healthcare community as a whole. Lattavo's writings shared the same view on the future growth of medical-surgical nursing education and care. She also devotes much of her writing to the importance of hard work that medical-surgical nurses provide when it comes to quality.