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Despite the assertions by these nurse participants that things have changed in a range of ways, it could be that they were promoting the ideals or 'received wisdom' about contemporary practice and policy, rather than accurately describing the impacts of role change in healthcare in particular what might constitute a good patient or a good nurse.
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Factors related to the impact of role model and variety of practice was also considered.
However, concerns over the negative impact of role extension in primary care have been raised.
The case could albeit also point to the possibly strong impact of role definitions once they are established.
Evidence concerning the impact of role delegation on both patient and staff outcome is limited and conflicting.
Studies that have looked at spousal carers of individuals suffering from chronic diseases have noted the impact of role change as the role of husband/wife is eroded and is absorbed in to that of carer [ 25].
In addition, the impact of role models in popular culture who are utilizing DNA technologies to address a variety of health issues [ 5] has interjected another powerful cultural variable into patient-physician dynamics.
Therefore, intervention efforts need to be focused on family and childhood environmental factors with emphasis on impact of role models smoking, refusal skills in social gatherings, and discussing harmful effects of smoking with family members and during gatherings with friends.
According to socio-cognitive learning principles [ 43] behaviors are shaped through reciprocal interaction between the social context (e.g. behavior of peers) including the impact of role modeling, individual behaviors and prerequisites.
RC theory, first developed by Gittell to explain the impact of role relationships on coordination and organisational outcomes in the airline industry, has now been applied in multiple health care settings, including primary care [ 27- 32].
Despite this, little attention in the research has been focused on the role of the physiotherapy educator when dealing with a culturally-diverse student body, and the subsequent impact of role adjustment on the physiotherapy curriculum and the mode of teaching.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com