Moreover, these criteria could be used as outline job descriptions, potentially ensuring that service delivery neither falls short of expected standards nor exceeds the boundaries of professional expertise.
However, there is debate within the profession as to where the boundaries of this expertise lie, as illustrated by the comments provided for this study.
GPs tend to protect the boundaries of their expertise; thus they usually tend to be intolerant of CNs who "intrude" in their field and fiercely criticise them: "When she [CN] comes to me I can always see if something is wrong.
"When you step over the boundary outside your area of expertise, then there aren't necessarily any warning signs," Dr. Lindell said.
As a result, though there may well be significant differences between various locations or areas of expertise, boundary objects serve to provide common ground, and are thus a way of establishing overall coherence and integration.
As a result, collaborative software has nearly infinite possibilities for breaking through all kinds of boundaries: time, space, expertise, rank, resources and academic discipline.
Patient involvement is influenced by perceptions of power, roles, boundaries, expertise and knowledge, feelings of dignity and respect, and the perception that the presence of a person is legitimate [ 45].
The N.B.A. commissioner, David Stern, who has known both men for more than twenty years, told me, "Their footprint and their areas of expertise don't seem to have boundaries".
Thus, the decision to diagnose GH by individual clinicians with different levels of expertise cannot be controlled within the boundaries of claims data.
Education is a key element in outreach activities, and is a two-way process that requires sharing of expertise, collaborative support, and blurring of traditional boundaries [ 86].
