Parenting has been affected by several 20th century changes. Among the most important changes are a shift from a rural farm family environment to an urban society, the increased impact of the media, an increased number of working mothers, a shift to more nontraditional family forms, and a greater emphasis on personal happiness and self-fulfillment. This article considers the impact of these changes within the context of parental role responsibilities and their potential impact on the quality of life for children. The role of nursing in reframing parenting in response to these changes is considered. It is concluded that the nursing profession needs to specify an action-oriented agenda that addresses parenting issues with consideration of 20th century changes, if improved parenting and child outcomes are to be realized on a broad-scale basis.