Leadership across boundaries: a qualitative study of the nurse consultant role in English primary care.
OBJECTIVE
To explore the emerging role of nurse consultant in an English primary care setting.


BACKGROUND
Nurse consultants have been introduced in England since 1999 as senior, non-managerial nurse leaders. They have generally found it that it takes time to negotiate manageable work-loads.


METHODS
Four qualitative case studies


METHODS
Semi-structured interviews with stakeholders within the organization. Data were analysed thematically.


RESULTS
All four nurse consultants might potentially work with a very large number of disciplines, departments and other organizations. As a result, it took time to identify priorities and to make relationships. Thus, although nurse consultants are well-placed to work across boundaries, two had made relatively little progress in doing so.


CONCLUSIONS
Nurse consultants working in primary and community health care settings are well-placed to be boundary-spanners, delivering change across organizations. Negotiating priorities and relationships are time-consuming tasks, and nurse consultants may have to work with a restricted number of partners initially.
Stephen
Abbott
A
Public Health and Primary Care Unit, St Bartholomew School of Nursing and Midwifery, City University Institute of Health Sciences, London, UK. s.j.abbott@city.ac.uk
D001291:Attitude of Health Personnel; D002648:Child; D002651:Child Advocacy; D003253:Consultants / Q000523:psychology; D006801:Humans; D007400:Interprofessional Relations; D007587:Job Description; D007857:Leadership; D007859:Learning Disabilities / Q000451:nursing; D008131:London; D016294:Models, Nursing; D017008:Negotiating; D009720:Nurse Clinicians / Q000458:organization & administration / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology*; D015404:Nursing Methodology Research; D010348:Patient Care Team / Q000458:organization & administration; D011320:Primary Health Care / Q000458:organization & administration*; D017009:Professional Autonomy; D011637:Public Health Nursing / Q000458:organization & administration; D036301:Qualitative Research; D013041:Specialties, Nursing / Q000458:organization & administration; D019467:Subacute Care; D011795:Surveys and Questionnaires; D017748:Time Management