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Varied/adaptable Gender Pivotal/influential Standards Conflicting/management/leadership/budget/appraisals Separate/apart International colleague’s interaction Legitimate power/authority Staff advocate/support Enabling Respect/consistency/fairness Sense of humour Patients Feedback Complex Systems Professional relationships Exciting/enjoyable Privilege/humbling Communication Hard work/emotionally draining/scary Relationship with manager Moving away from clinical skills Professional support

Figure 4: The 24 themes presented to the Clinical Nurse Leaders

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