Stephen Abbott
Public Health and Primary Care Unit, St Bartholomew School of Nursing and Midwifery, City University Institute of Health Sciences, London, UK.
J Nurs Manag. 2007 Oct;15(7):703-10. doi: 10.1111/j.1365-2934.2006.00736.x.
To explore the emerging role of nurse consultant in an English primary care setting.
Nurse consultants have been introduced in England since 1999 as senior, non-managerial nurse leaders. They have generally found it that it takes time to negotiate manageable work-loads.
Four qualitative case studies
Semi-structured interviews with stakeholders within the organization. Data were analysed thematically.
All four nurse consultants might potentially work with a very large number of disciplines, departments and other organizations. As a result, it took time to identify priorities and to make relationships. Thus, although nurse consultants are well-placed to work across boundaries, two had made relatively little progress in doing so.
Nurse consultants working in primary and community health care settings are well-placed to be boundary-spanners, delivering change across organizations. Negotiating priorities and relationships are time-consuming tasks, and nurse consultants may have to work with a restricted number of partners initially.
探讨护士顾问在英国初级医疗环境中日益凸显的作用。
自1999年起，护士顾问作为高级非管理型护士领导者在英国被引入。他们普遍发现，协商出可管理的工作量需要时间。
四项定性案例研究
对组织内的利益相关者进行半结构化访谈。对数据进行主题分析。
所有四位护士顾问都可能与大量不同学科、部门及其他组织合作。因此，确定工作重点和建立关系需要时间。所以，尽管护士顾问处于跨部门工作的有利位置，但其中两位在这方面进展相对较小。
在初级和社区医疗环境中工作的护士顾问处于跨部门协调的有利位置，能够推动各组织间的变革。协商工作重点和建立关系是耗时的任务，护士顾问最初可能不得不与数量有限的合作伙伴合作。
