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Cultural change and barriers facing nursing Please add your story below: When we think about being part of the 'decision makers' we should remember that this is not a role change - it is essentially a cultural change. Roles require different degrees of autonomy and decision making, and the value we place on people across the system is culturally determined. We can shape the future by using cultural change as a lens to shed light on a broad range of barriers, biases and unfair practices...

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