Neurorehabilitation nursing is characterized by heavy workload, high
patient acuity, and poor interprofessional collaboration. This practice context was
negotiated by nurses through two strategies: (1) intraprofessional collegialism,
accomplished through tactics including task and knowledge sharing, emotional
support, coercive threats, and suppression of dissension; and (2) vying for an
autonomous essential nursing role in interprofessional practice, accomplished by
claiming unique nursing knowledge based on 24/7 nursing proximity, the
expansion of the division of professional labour with allied health professionals
and modifying physical therapy care plans