Manley K
Nurs Stand. 2000;14(36):34-8.
The aim of this three-year study was to operationalize the role of a consultant nurse and, in so doing, facilitate the development of nurses and nursing for the purpose of providing better patient services.
Action research was used because it focuses on developing practitioners, developing practice and contributing to understanding both the phenomena being studied and the processes being used.
The role of leadership is recognised as key to bringing about cultural change, as is the use of approaches that clarify values and highlight the contradiction between espoused culture and culture in practice.
The resulting culture had a positive impact on the unit in which the consultant nurse was based, on practitioners and their practice, and also on the trust. A number of factors, including transformational leadership, other facilitative processes, expertise in the practice of nursing, and other subroles of the consultant nurse were shown to be influential. This article explores the concept of organisational culture, and a second article to be published next week, discusses the consultant nurse outcomes.
这项为期三年的研究旨在落实顾问护士的角色，从而促进护士及护理工作的发展，以提供更好的患者服务。
采用行动研究法，因为它专注于培养从业者、改进实践，并有助于理解所研究的现象和所采用的过程。
领导力的作用被认为是实现文化变革的关键，明确价值观以及凸显所倡导的文化与实际文化之间矛盾的方法的运用也是如此。
所形成的文化对顾问护士所在的科室、从业者及其实践以及信任都产生了积极影响。包括变革型领导、其他促进过程、护理实践专业知识以及顾问护士的其他子角色在内的一些因素被证明具有影响力。本文探讨了组织文化的概念，下周将发表的第二篇文章将讨论顾问护士的成果。
