In one study, nurses who called for ethics consultations experienced physician anger, strained relationships with other team members, and even threats to their continued employment.
The pharmaceutical industry's influence on the process of defining illness can be positive, as when drug companies increase public awareness of disease and develop effective therapies, or negative, if it pushes the boundaries of illness too far in pursuit of profit.
There are many elements and much coordination involved in the design and implementation of an effective resident training program in systems-based practice.