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Future Research

This research project has allowed for those active in the role to be co-researchers in a project that looked at how the evolution of the role of CNL could be further informed and how the professional support of the role could be further improved. This exposition clearly lends itself to further research which concentrates on context, that of a District Health Board structure, and connection to that context from the CNL role. The responsibility within that structure and expectations that fall out of the strength or weaknesses of this connection should be further explored. This could take place following the collective effort of both the DHB and the CNL group to review the role in relation to responsibilities and scope based on the findings of this research. Once this is complete and an associate role installed in certain areas, this intervention could be evaluated from both those in the role and the organisation. Do the organisation and the CNLs agree this role is one of the major recognisable clinical faces of the DHB to their public? Does the DHB agree the CNL is the conduit to the communications of all the multidisciplinary team and patient or family enquiries? How much does a CNL know about the link between their role and the function and responsibility of the DHB and in particular the provider arm? Is the role a depository for organisational expectations that are necessary to respond to as part of their DHB structure and accountability to the public? And, if it is, how much preparation goes into managing the added responsibilities? Questions such as these could underpin the agreement on what future research would add to further understanding about the inextricable link between the situational context of a DHB and the professional context of nursing. Nationally this research could be shared, as the role of Clinical Nurse Leader (now Clinical Nurse Manager – see post script) is consistently used throughout New Zealand. The findings of this research would warrant an examination of the joint expectations of the CNL and their respective organisations. At the least, an analysis of the preparation and professional development attached to this role would be useful throughout New Zealand to compare educational programmes. Internationally, further research on the significant place of patient care within health care organisations and who is ultimately responsible for that could be explored. How to minimise the agreed conflict experienced in the role between


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