sentences:  Hospital-level resistance to Primary Nursing comes from the difficulty of integrating the Primary Nursing process within usual hospital processes.Changes required may include the nurse-doctor relationship, staffing patterns and nursing supervision practices.Changes are also required to the technical support systems underlying nursing practice.Marie Manthey asserts that a nursing system can support either professional (nursing) values or bureaucratic (hospital) values as it either focuses on caring for people or tending to the needs of an organization.