A study examined how student, teacher, and practitioner/manager perceptions of the philosophy and practice of nursing changed during the Project 2000 demonstration program, which marked a dramatic revision of the curriculum taught at colleges of nursing across England and Wales. Data were collected from the following: literature review; questionnaires completed by 242 students and 78 (33%) of 240 qualified diploma enrollees from two nursing education centers; unstructured interviews with 10 of these enrollees; and focus group interviews with a total of 15 teachers, 21 practitioners, and 15 nurse managers from the two centers. As the Project 2000 course progressed, the students' perceptions shifted from "sick" to "health" nursing with an emphasis on theory and research as a foundation for practice. Students were gradually socialized into the role of professional nurse and were perceived and assessed increasingly as workers rather than learners. Teachers, managers, and practitioners also credited the Project 2000 curriculum with shifting their perceptions of nursing and nursing education. (Sixty-one tables and 132 references are provided. Included among the 27 appendixes that constitute 30% of this report are the following: course outlines; study-related correspondence; student questionnaires; interview guides; demographic characteristics of the study respondents; topic guides; and tables detailing the survey results.) (MN)