title: Organisational culture and consultant nurse outcomes: Part 1. Organisational culture.
abstract: OBJECTIVE
  The aim of this three-year study was to operationalize the role of a consultant nurse and, in so doing, facilitate the development of nurses and nursing for the purpose of providing better patient services.
  
  
  METHODS
  Action research was used because it focuses on developing practitioners, developing practice and contributing to understanding both the phenomena being studied and the processes being used.
  
  
  RESULTS
  The role of leadership is recognised as key to bringing about cultural change, as is the use of approaches that clarify values and highlight the contradiction between espoused culture and culture in practice.
  
  
  CONCLUSIONS
  The resulting culture had a positive impact on the unit in which the consultant nurse was based, on practitioners and their practice, and also on the trust. A number of factors, including transformational leadership, other facilitative processes, expertise in the practice of nursing, and other subroles of the consultant nurse were shown to be influential. This article explores the concept of organisational culture, and a second article to be published next week, discusses the consultant nurse outcomes.
authors.forename: K
authors.initials: K
authors.lastname: Manley
mesh_terms: D001291:Attitude of Health Personnel; D003253:Consultants; D006302:Health Services Research; D006801:Humans; D007587:Job Description; D007857:Leadership; D009720:Nurse Clinicians / Q000458:organization & administration* / Q000523:psychology; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D015279:Organizational Culture; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care; D011361:Professional Competence / Q000592:standards