Revealing Nursing Expertise Through Practitioner Inquiry

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.

Contributors Foreword

Introduction

Abbreviations

Section One: The Context

1. 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

2. 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

3. A Kaleidoscope of Nursing Expertise: A Literature Review

Angie Titchen and Sally Hardy

Patterns and colours

Professional artistry

References

Section Two: Practitioner Examples

4. Transformational Impact of the Expertise in Practice Project

Maeve McGinley

Introduction

Section one: starting the journey

Section two: a new beginning

Conclusion

References

5. Working with Critical Companionship

Angela Brown and Karen Harrison

What is a critical companion?

Professional artistry

Endings and potential

Acknowledgements

References

6. Critical Companionship – The Lived Experience

Alison Greggans and Margaret Conlon

Introduction

Acknowledgements

References

7. Expertise in Practice – Older People

Jonathan Webster

Introduction

Developing practice with older people

Conclusion

Acknowledgments

References

8. The Role of the Consultant Nurse and Research in Articulating Expertise

Cheryl Crocker

Introduction

Developing a nursing technology

Technology transferred

Conclusion

References

9. The Impact of Clinical Expertise on Patient Care in Rheumatology

Sarah Ryan

Introduction

Section 1: caring for patients with RA

Section 2: nurse-led clinics: added value to patient care

Evaluating practice

Section 3: the effectiveness of nursing interventions

Conclusion

References

10. Exploring the Relationship between Education Expertise and Nursing Practice

Nancy Jane Lee

Introduction

A professional doctorate

Conclusion

References

11. 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

Section Three: Methods and Resources for Revealing Practice Expertise

12. Developing Expertise through Nurturing Professional Artistry in the Workplace

Angie Titchen

Introduction

Professional artistry dimensions

Creating the conditions

Concluding remarks

Acknowledgements

References

13. 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

Section Four: Concluding Remarks

14. A Final Turn of the Kaleidoscope

Sally Hardy, Angie Titchen, Kim Manley and Brendan McCormack

Interrelated journeys

Index