Developing nurse practitioners to develop practice: the experiences of nurses working on a Nursing Development Unit

Bell,; Procter,

doi:10.1046/j.1365-2834.1998.00051.x

Cited by 17 publications

(3 citation statements)

References 5 publications

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“…As there are many aspects of nursing practice about which little is 'known', it will always be necessary for primary research to be undertaken. 'Doing' and 'using' research should be accorded equal standing; and there are several ways that nurses can undertake research in a practice setting (Bell and Procter, 1998). Whilst nursing has arguably 'concentrated primarily on equipping nurses to become proficient users of research' rather than to become researchers (Procter, 1997, p. 321), practice development should support all nurses to both 'do' and 'use' research.…”

Section: The Way Forwardmentioning

confidence: 99%

Developing best practice in critical care nursing: knowledge, evidence and practice

Fulbrook¹

2003

Nursing in Critical Care

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Because the current drive towards evidence-based critical care nursing practice is based firmly within the positivist paradigm, experimentally derived research tends to be regarded as 'high level' evidence, whereas other forms of evidence, for example qualitative research or personal knowing, carry less weight. This poses something of a problem for nursing, as the type of knowledge nurses use most in their practice is often at the so-called 'soft' end of science. Thus, the 'Catch 22' situation is that the evidence base for nursing practice is considered to be weak. Furthermore, it is argued in this paper that there are several forms of nursing knowledge, which critical care nurses employ, that are difficult to articulate. The way forward requires a pragmatic approach to evidence, in which all forms of knowledge are considered equal in abstract but are assigned value according to the context of a particular situation. It is proposed that this can be achieved by adopting an approach to nursing in which practice development is the driving force for change.

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Section: The Way Forwardmentioning

confidence: 99%

Developing best practice in critical care nursing: knowledge, evidence and practice

Fulbrook¹

2003

Nursing in Critical Care

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“…• Negative staff attitudes. [27][28][29][30][31][32] Negative attitudes may be due to lack of ownership, to seeing the CDU as the leader's 'baby' and to intolerance of excellence or difference.This also results from attempting too much too soon and then focusing on lack of progress, tardiness and failures, rather than on small successes. This latter tendency, certainly in Western Sydney, is associated with an almost endemic lack of trust among nurses and with perceptions of being undervalued by other health professionals and managers.…”

Section: Threats To Cdu Survivalmentioning

confidence: 99%

Clinical Development Units (Nursing): the western Sydney approach

Greenwood

1999

Journal of Advanced Nursing

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On 24 September 1997 Western Sydney Area Health Service and the University of Western Sydney, Nepean (Australia) launched a network of nine Clinical Development Units (Nursing). The approach taken towards the development of CDU(N)s in western Sydney differs substantially from those taken elsewhere in terms of preparation for CDU(N) leadership and the role of CDU(N) criteria in the designation ('accreditation') process. The rationale underpinning the western Sydney approach, together with details of a leadership preparation programme, are discussed.

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“…Practice development in health care is also often criticized for being nebulous and of having an unclear and poorly understood relationship with research (Unsworth 2000; Carradice & Round 2004). Neither does it always follow that links with research activity results in the development of practice (Bell & Procter 1998). Another difficulty is that practice development often struggles to find its place as it can be seen as an extra to normal work even though it ought to be an inherent part of practice.…”

Section: Introductionmentioning

confidence: 99%

Reflections on the process of change on acute psychiatric wards during the City Nurse Project

Flood¹,

Brennan²,

Bowers

et al. 2006

Psychiatric Ment Health Nurs

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The intention of this paper is to discuss the process of therapeutic change on two acute psychiatric wards during a research project that aimed to reduce conflict and containment. Analysis of fieldwork notes, reflection, team discussion and supervision. The City Nurse Project successfully reduced patient aggression, self-harm and absconding. This paper reports on the reflections made over the course of the year as changes and developments to acute wards took place. Specifically discussed are the beneficial effects of an action research approach, the role of the City Nurse, support for ward managers, education and training, clinical supervision as well as difficulties and barriers to the overall process of change. At an interim stage of the project, the staff have shown a willingness to engage in efforts to change and improve two acute wards. This paper shows the potential to improve acute wards and produce positive outcomes using a working model.

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Developing nurse practitioners to develop practice: the experiences of nurses working on a Nursing Development Unit

Abstract: Engaging in research activities does not always result in the development of practice, however, there appears to be a link between practice development and critical thinking.

Cited by 17 publications

References 5 publications

Developing best practice in critical care nursing: knowledge, evidence and practice

Developing best practice in critical care nursing: knowledge, evidence and practice

Clinical Development Units (Nursing): the western Sydney approach

Reflections on the process of change on acute psychiatric wards during the City Nurse Project

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