title: Organisational culture and consultant nurse outcomes: Part 2. Nurse outcomes.
abstract: OBJECTIVE
  The aim of this three-year study was to investigate the development of a consultant nurse post and consider whether it contributed to a new organisational culture.
  
  
  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
  This new culture had a positive impact on the unit in which it 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. Part one, published last week, described the concept of organisational culture. This article discusses the consultant nurse outcomes.
authors.forename: K
authors.initials: K
authors.lastname: Manley
mesh_terms: D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003253:Consultants; D006302:Health Services Research; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration; D007587:Job Description; D007857:Leadership; D009720:Nurse Clinicians / Q000193:education / Q000458:organization & administration* / Q000523:psychology; D024802:Nurse's Role; D015403:Nursing Evaluation Research / Q000458:organization & administration; D015279:Organizational Culture; D009936:Organizational Innovation; D017063:Outcome Assessment, Health Care / Q000458:organization & administration*