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leadership and management aspects of the role could be examined further, unpacking just what are the components of such conflict.

This chapter summarised the thesis as a whole, presenting a discussion on how the findings relate to recent relevant literature and what new knowledge has been added to the research on the role of CNL. How the role can be further informed and how the support of the role can be further improved has been addressed. What the role is has been answered, as defined by those in the role; the patient and their care identified as significant by the CNLs. Their leadership of their nurses is also important to them. A comparison to Bamford and Porter-O’Grady’s (2000) work where the tension caused by the craft of nursing practising against the backdrop of the culture of business in New Zealand and work is included. The role seems to symbolise the humanism of nursing and the context in which it is practiced; the DHB symbolises the cost corporate model of health care. This is, however, the practice reality as the majority of New Zealand CNLs work within this structure. Keith, Peat and Marwick (2001) advise this market-driven model is likely to continue and nurses will have to adapt. White (2004) advises nurses in general may need assistance to reframe their understanding of nursing within this corporate model. A more ecumenical approach to the relationship between the CNLs and the DHB is suggested as a way forward.

This chapter highlighted the main insights that this project offers for the stakeholders, that is the DHB, CNLs, executive nursing leaders, senior nurses and education teams. It acknowledges that the DHB where the research was undertaken has already embraced part of the research outcomes, namely an intranet site, early adoption of a preparation and professional development proposal for the role and acceptance of a proposal to establish a Senior Nurse lounge. This research project could be extended and the proposal to continue to concentrate on the link between the situational context, that of the DHB and the professional context of nursing, has been made.


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