Revealing Nursing Expertise Through Practitioner Inquiry

by Hardy, Sally; Titchen, Angie; McCormack, Brendan; Manley, Kim

• ISBN13: 9781405151788
• ISBN10: 1405151781
• Edition: 1st
• Format: Paperback
• Copyright: 2009-06-08
• Publisher: Wiley-Blackwell

Summary

Revealing Nursing Expertise Through Practitioner Inquiry explores and reveals the often hidden workings of 'expert practitioners'. It provides valuable insights into developing practice expertise and how expert nursing practice is a key influence on health care practice. The authors present evidence around the interconnected components needed to facilitate, support and enable nurses in their practice settings through a transformational framework used to further develop and refine nursing practice expertise. Part 1 explores the current context of practice expertise and the process of practitioner inquiry. Part 2 examinplores the evidence for practice expertise, using exemplars from the extensive 'Expertise in Practice Project'. This includes perspectives of practitioners developing their expertise in diverse areas of clinical practice as well as of from those who facilitate practitioners to develop and articulate their practice expertise. Part 3 explores the development of portfolios of evidence that demonstrate expertise, examines models and approaches to facilitation and provides a toolkit of resources. Revealing Nursing Expertise Through Practitioner Inquiry provides important evidence to support the claim that expert nurses change patients' worlds as well as transforming practice, workplace performance and organisational wide service developments. Provides a framework for exploring and developing nursing expertise Enables nurses to articulate their expertise and examine their own practice Offers practical guidance on facilitating inquiry based practitioners Draws on results of the RCN Expertise in Practice project Written collaboratively by practitioners, practice developers and nurse academics

Author Biography

Sally Hardy is Director of Research & Practice Development at the Royal Children’s Hospital, Melbourne, Honorary Associate Professor at Monash University, Melbourne, Research Fellow with the Murdoch Children’s Research Institute, Melbourne, Senior Research Fellow, Royal College of Nursing Institute London and Deputy Director of Nursing Research at the University of East Anglia, Norwich England.

Angie Titchen is Clinical Chair , The Knowledge Centre for Evidence Based Practice, Fontys University of Applied Science, The Netherlands, Visiting Professor, University of Ulster, Northern Ireland and Associate Fellow, University of Warwick, England.

Kim Manley is Head of Practice Development, Royal College of Nursing Institute, London, and Visiting Professor of Nursing, Bournemouth University, England

Brendan McCormack is Professor of Nursing Research University of Ulster, Adjunct Professor at Monash University, Victoria Australia and Visiting Professor at University of Technology Sydney.

Table of Contents

Contributors	p. ix
Foreword	p. xi
Introduction	p. xiii
Abbreviations	p. xv
The Context
From Artistry in Practice to Expertise in Developing Person-Centred Systems: A Clinical Career Framework	p. 3
Introduction	p. 3
The context of nursing practice expertise	p. 4
Nursing practice: person-centred expertise	p. 5
Expertise in developing person-centred systems	p. 10
Four domains of person-centred expertise	p. 12
The clinical career framework	p. 21
Summary	p. 24
References	p. 25
Practitioner Research	p. 31
Introduction	p. 31
Practitioner research - the context	p. 31
Practitioner research - what is it?	p. 32
The transformative potential of practitioner research	p. 37
Emancipatory action research	p. 40
Emancipatory practice development	p. 45
Transformational practice development	p. 47
Operationalising methods of practitioner research through reflexivity	p. 49
Conclusions	p. 51
References	p. 51
A Kaleidoscope of Nursing Expertise: A Literature Review	p. 55
Patterns and colours	p. 55
Professional artistry	p. 66
Endless turning but resting for now	p. 68
References	p. 69
Practitioner Expertise
Transformational Impact of the Expertise in Practice Project	p. 75
Introduction	p. 75
Section one: starting the journey	p. 75
Section two: a new beginning	p. 84
Conclusion	p. 90
References	p. 91
Working with Critical Companionship	p. 93
What is a critical companion?	p. 93
Professional artistry	p. 106
Endings and potential	p. 107
Acknowledgements	p. 107
References	p. 107
Critical Companionship - The Lived Experience	p. 110
Introduction	p. 110
Acknowledgements	p. 126
References	p. 126
Expertise in Practice - Older People	p. 128
Introduction	p. 128
Developing practice with older people	p. 136
Conclusion	p. 144
Acknowledgements	p. 145
References	p. 145
The Role of the Consultant Nurse and Research in Articulating Expertise	p. 150
Introduction	p. 150
Developing a nursing technology	p. 151
Technology transferred	p. 155
Conclusion	p. 163
References	p. 163
The Impact of Clinical Expertise on Patient Care in Rheumatology	p. 166
Introduction	p. 166
Section 1: caring for patients with RA	p. 167
Section 2: nurse-led clinics: added value to patient care	p. 168
Evaluating practice	p. 172
Section 3: the effectiveness of nursing interventions	p. 176
Conclusion	p. 177
References	p. 177
Exploring the Relationship between Education Expertise and Nursing Practice	p. 180
Introduction	p. 180
A professional doctorate	p. 182
Conclusion	p. 192
References	p. 192
Critical Creativity in the Development of Clinical Nurse Specialists' Practice	p. 194
Introduction	p. 194
Critical creativity: a new paradigm for PD	p. 195
Developing expertise as a facilitator	p. 198
Methodology and design	p. 199
The developmental journey	p. 200
Making use of care stories	p. 208
Evaluating the impact of the programme	p. 208
Conclusion	p. 213
Acknowledgement	p. 214
References	p. 214
Methods and Resources for Revealing Practice Expertise
Developing Expertise through Nurturing Professional Artistry in the Workplace	p. 219
Introduction	p. 220
Professional artistry dimensions	p. 221
Creating the conditions	p. 234
Concluding remarks	p. 238
References	p. 241
Revealing the Hidden Treasures of Practice Expertise	p. 244
Principal methods for transformation	p. 244
Qualitative 360° feedback	p. 245
Recommendations	p. 250
Recommendations	p. 254
Using narratives (patient and staff stories)	p. 255
Reflexivity (reflection into critically appraised action)	p. 260
Conclusion	p. 265
References	p. 266
Additional resources for developing practice expertise	p. 269
Concluding Remarks
A Final Turn of the Kaleidoscope	p. 275
Interrelated journeys	p. 275
Index	p. 277
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