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This complexity was described in some detail by two of the CNLs. The complexity was demonstrated using scenarios from practice.

In fact I said on Sunday to a lady in a restaurant that I thought managing a restaurant this neat little café would be similar to managing a ward and I don’t know why I said that but its leading the people making those decisions and communicating. And then doing all of this with constant interruptions and that is amazing and I think constantly well every about 3 or 4 minutes you’ll be on some track doing something then an interruption fires in …. and that’s why I related it to a restaurant that’s that kind of that chaos that the theme of the meal is going through and chaos might be in the kitchen but you’re welcoming the people to the ward or your restaurant …I’ve got the relatives, I’ve got the

patients, I’ve got the nurses and all of their people their animals their creatures

their children and what’s going on in their lives I’ve got the District Nurse phoning up some GP phoning…. someone from NZ city …and its on the go chatter and chaos.

Another CNL stated that the role of the CNL is a very advanced one.

I don’t see the CNL role as a little role that I’m just here I’m just a nurse I’m just managing my staff and that’s it I don’t see it as that kind of role I see it as being very advanced very multi pronged that’s it probably.

Finally, as one CNL summarised, the role copes with many of the changes to the delivery of health care that affects the way clinical environs such as the ones CNLs practise in. The CNL said:

It’s a challenging role it changes all the time with the nursing staff themselves the health trends, the politics of health the work dynamics and more challenges

w i t h t h e h e a l t h s y s t e m t h e p a t i e n t a n d t h e f a m i l y d y n a m i c s w e r e d e a l i n g w i t ... it will challenge me every day. h

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