Dr. Jennifer Creese:

Some evidence we found spoke to a cultural rift between different types of professionals working in the healthcare system. For example, there is a cultural rift between junior doctors and nurses, or doctors and nurses, and between those who work in the clinical aspects of the health profession and those who work in the administrative side of the system. Basically, they are almost on two different islands in the stream. Patient care flows around both but the crossing of the gulf between one island and the other seems to involve a lot of personality and cultural clashes, and not everybody seems to be on the same page.