Revealing Nursing Expertise Through Practitioner Inquiry

by Editor: Sally Hardy (Royal Children's Hospital ); Editor: Angie Titchen (Royal College of Nursing Institute ); Editor: Brendan McCormack (University of Ulster ); Editor: Kim Manley (Royal College of Nursing Institute )

• ISBN13: 9781444316360
• ISBN10: 1444316362
• Format: eBook
• Copyright: 2009-07-01
• 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

Table of Contents

Contributors

Foreword

Introduction

Abbreviations

The Context

From Artistry in Practice to Expertise in Developing

Person-Centred Systems: A Clinical Career Framework

Kim Manley, Angie Titchen and Sally Hardy

Introduction

The context of nursing practice expertise

Nursing practice: person-centred expertise

Expertise in developing person-centred systems

Four domains of person-centred expertise

The clinical career framework

Summary

References

Practitioner Research

Brendan McCormack

Introduction

Practitioner research - the context

Practitioner research - what is it?

The transformative potential of practitioner research

Emancipatory action research

Emancipatory practice development

Transformational practice development

Operationalising methods of practitioner research through reflexivity

Conclusions

References

A Kaleidoscope of Nursing Expertise: A Literature Review

Angie Titchen and Sally Hardy

Patterns and colours

Professional artistry

References

Practitioner Examples

Transformational Impact of the Expertise in Practice Project

Maeve McGinley

Introduction

starting the journey

a new beginning

Conclusion

References

Working with Critical Companionship

Angela Brown and Karen Harrison

What is a critical companion?

Professional artistry

Endings and potential

Acknowledgements

References

Critical Companionship - The Lived Experience

Alison Greggans and Margaret Conlon

Introduction

Acknowledgements

References

Expertise in Practice - Older People

Jonathan Webster

Introduction

Developing practice with older people

Conclusion

Acknowledgments

References

The Role of the Consultant Nurse and Research in Articulating Exper tise

Cheryl Crocker

Introduction

Developing a nursing technology

Technology transferred

Conclusion

References

The Impact of Clinical Expertise on Patient Care in Rheumatology

Sarah Ryan

Introduction

caring for patients with RA

nurse-led clinics: added value to patient care

Evaluating practice

the effectiveness of nursing interventions

Conclusion

References

Exploring the Relationship between Education Expertise and Nursing Practice

Nancy Jane Lee

Introduction

A professional doctorate

Conclusion

References

Critical Creativity in the Development of Clinical Nurse

Specialists' Practice

Liz Henderson

Introduction

Critical creativity: a new paradigm for PD

Developing expertise as a facilitator

Methodology and design

The developmental journey

Making use of care stories

Evaluating the impact of the programme

Conclusion

Acknowledgement

References

Methods and Resources for Revealing Practice Expertise

Developing Expertise through Nurturing Professional Artistry in the Workplace

Angie Titchen

Introduction

Professional artistry dimensions

Creating the conditions

Concluding remarks

Acknowledgements

References

Revealing the Hidden Treasures of Practice Expertise

Sally Hardy

Principle methods for transformation

Qualitative 360º feedback

Recommendations

Recommendations

Using narratives (patient and staff stories)

Reflexivity (reflection into critically appraised action)

Conclusion

References

Additional resources for developing practice expertise

Concluding Remarks

A Final Turn of the Kaleidoscope

Sally Hardy, Angie Titchen, Kim Manley and Brendan McCormack

Interrelated journeys

Index

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