Crossing professional boundaries

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Abstract
Lesley Doyal describes the management implications of an evaluation she carried out with her colleagues into new nursing roles THROUGHOUT THE health service, the traditional boundaries between professional groups are beginning to seem more permeable. Nurses, physiotherapists, occupational therapists and other members of the professions allied to medicine (PAMS) are now doing activities formerly carried out by doctors. This has sometimes involved the creation of new roles, which have varied considerably and posed major challenges for managers and postholders. The new roles have also raised questions about what it means to be a nurse or related professional. There are therefore implications for individual health workers, for professional groups who represent them, and for patients who may be receiving new forms of care from different people.

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