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There was general agreement that the patient was the focus for the role and the group agreed that the role was one of leadership, management and patient care. For the future, the role of Associate Clinical Nurse Leader in certain sized clinical areas would be beneficial in supporting the present CNL to achieve these key functions. In order to address the excess emphasis on typing of lengthy staff appraisals and attendance to some organisational requirements, these tasks needed directing to another non-nursing role. Meeting eight, the group agreed, would analyse the professional development and support given to the role. Interestingly, this theme of professional development and support had been agreed some months prior by the group as one of the two themes that were to be focussed on through the action research. However, the conflict between leadership and management had occupied four of the nine meetings.

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