The institution of administrative change in the home health service agency.
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Biomedical subjects
Publications and source records attributed to N M Clark.
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This paper suggests that planning staff and board members function as boundary spanners between the agency and various interests which must be considered in health planning. The study outlines communication behaviors which, in the view of board members, appear to influence decision making and effective performance as boundary spanners collaborate in planning.
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The pilot study reported in this article was undertaken to identify roles that nurses perform in actual practice and factors and behaviors that enable or prevent them from resolving practice problems in a knowledge-informed way. It was theorized that if nursing roles based on actual practice can be described and if behaviors which enhance knowledge-utilization can be identified, nurses can learn to implement the specific activities needed to ensure the full application of professional knowledge in the practice setting. This preliminary study uncovered six intersecting roles assumed by nurses in the practice of their profession and identified nine categories of behavior and their influence on the ability to use knowledge in carrying out each role. The findings provide additional insight into the nursing culture and suggest the need for changes for education and service.
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