Other research has shown that some personality disorders such as antisocial, narcissistic and histrionic personality disorder, are associated with aggressive defense mechanisms or strategies of coping with distress that may cause discomfort in professionals, e.g. "turning against others" [ 13].
These factors may cause the healthcare professionals involved to experience moral distress: stress that "occurs when one knows the right thing to do, but institutional or other constraints make it difficult to pursue the desired course of action" [ 10- 12].
This more subtle failure may cause patient, family professional and team confusion and dissatisfaction, with delays and readmission rather than directly attributable specific adverse events [ 26- 28].
Moreover, the lack of awareness of HAE-C1-INH among health care professionals may cause patients to fear for their safety and could have a negative effect on health-related Quality of Life (HRQoL).
Differences in autonomy in nursing practice are noted by several authors, who have shown this can be country-specific and may cause a shift in professional identity [ 14, 25].
However, honoring a patient's desire to die may cause difficulty for emergency-care professionals who are trained to err on the side of life, even if they know a patient wishes not to be resuscitated.
Their findings may cause hiring and talent acquisition professionals to think more carefully about the impact of their employee referral programs.
Health professionals' beliefs may cause them to restrict information flows, which can limit carers' ability to make decisions, and limit health services' ability to improve partnering and shared decision making.
They may be a little lacking in this country as we contemplate the damage professional rugby may cause.
