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Content validity resulted in 9 changes to professional concepts.
Therefore, changes to professional regulations by the General Dental Council have included "Direct Access" [ 2, 10], whereby patients are now able to access recently trained dental hygienists and dental therapists without first seeing a dentist.
However, it has been argued [ 2] that ICT provides the opportunity to revolutionise the healthcare system by enabling innovations in clinical work practice and changes to professional roles and responsibilities resulting in new models of care delivery.
It adds new knowledge regarding how lean principles can be beneficially applied in healthcare and identifies changes to professional roles as a potential challenge when introducing lean thinking there.
They argued that regionalization had substantial impacts on professional identity for healthcare providers, noting that moves to team-based work and changes to professional boundaries involved changes to what providers did, how they were rewarded, and, consequently, how providers saw themselves.
The themes identified comprised: motivation for moving to an EPS2 system, training, types of prescriptions received via the EPS2 system, process change to support EPS2, overall views of EPS2, perceived advantages EPS2, perceived changes to professional role related to EPS2, problems associated with EPS2, suggested improvements to the EPS2 system, and feedback procedures available to pharmacists.
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Single research studies do not usually provide the standard of evidence required to make a change to professional practice, health care or the health system [ 18, 19].
This approach offered few incentives for connecting organisational change to professional practice and for establishing the new discharge arrangements as organisational routines.
Going without the salaries might open up more competition for spots on the team, and it would force changes to the professional NWSL, which is nearing the end of its fourth season.
The improvement strategy provided a holistic framework for the improvement task because it required changes to address professional, patient, and management quality of care [ 51].
Support for organisational changes to health professionals, including training, educational material and technical support, can help them to carry out a time-consuming workflow more efficiently [ 72].
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