Last, extending nursing roles into the domain of doctors may
challenge the professional identity of both practitioners, leading to
opposition as people struggle to maintain their traditional professional
boundaries. Task delegation from doctors to nurses leaves
doctors to manage the more complex patient problems which some
do not welcome.32 Delegating care to nurses can lead to excessive
workloads for nurses unless their numbers are increased and/or
simpler tasks are delegated to nurse replacements, such as nurse
auxiliaries or health care assistants. Managing these changes
takes time and excellent human resource skills.