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Recent Australian research suggests that professional boundaries are not necessarily bounded and static, but reconstituted in response to reform. An examination of professional identities within the healthcare sector suggests that societal and political change serve to liquefy professional delineations. Yet, how do these changes affect traditional labour divisions; and how do the forces for change affect the reconstruction of professional identity? This paper demonstrates that organisational pressures are changing the historically anchored medical profession and the emerging nursing profession. Such change is also influenced by the void between clinicians cum managers and clinicians. Because the success of healthcare reform is contingent on professional interdependence, it is important that the evolution of professional delineations within the sector is understood.

Continual pressures on healthcare budgets coupled with increasing demands and evidence of poor performance have led national and local healthcare organizations to look for methods to improve quality, safety and value in health service delivery. Increasingly this search for solutions has extended beyond the boundaries of healthcare practice to investigate successfully employed methods from other industries. Lean Systems Thinking and continuous improvement activities have come to the attention of healthcare administrators looking for ways to improve organizational performance. Originating in the

Chapman, RL orcid:0000-0002-0164-7426; Macht, SA orcid:0000-0002-8099-4871 ; This paper questions how impact is measured in academic research and proposes that the United Nations' Sustainable Development Goals (SDGs) are an effective framework for determining real-world impact. Using bibliometrics alone to assess the quality of academic work tends to be purely quantitative, and often self-referential, reducing the focus on real-world problems and solutions. The same measurements are often adopted by funding bodies, putting additional pressure on academics and schools to increase compliance, further reducing integrity and real-world impact. To commence on the ambitious agenda of the SDGs, a world-café methodology was conducted, collecting data on how researchers, their institutions, and network organisations (such as ANZAM) can contribute to, and measure research aligned with SDGs. The results of the analysis showed that participants were generally positive toward using SDGs. Suggestions included aligning governmental and institutional funding, changing KPIs, increasing cross-disciplinary work, aligning mission/vision statements, and legitimising SDG-focused projects at conferences.