Presents a framework for exploring and developing nursing practice. This book offers evidence to support the claim that expert nurses change patients' worlds as well as transforming practice, workplace performance and organizational wide service developments.
"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 examines the evidence for practice expertise, using examples 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 organizational wide service developments. This book provides a framework for exploring and developing nursing expertise. It enables nurses to articulate their expertise and examine their own practice. It offers practical guidance on facilitating inquiry based practitioners. It draws on results of the RCN Expertise in Practice project. It is written collaboratively by practitioners, practice developers and nurse academics.
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 360 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