Helen Walker Consultant Nurse Forensic Network [email protected].
The role of the nurse consultant in palliative care: the story so far Sue Duke Nurse...
-
Upload
trinity-norris -
Category
Documents
-
view
225 -
download
2
Transcript of The role of the nurse consultant in palliative care: the story so far Sue Duke Nurse...
The role of the nurse consultant in palliative care: the story so far
Sue DukeNurse Consultant/Principal Lecturer
Royal Berkshire and Battle Hospitals NHS Trust
and Oxford Brookes University
Role: this is what I do
This is how I do it
This is the culture in which I do it
Integrate different sorts of practice: clinical, education, research and leadership, across different layers of organisation: individual, team,
board and national/international
Enhance patient care through direct care, educating practitioners, changing contextual thinking about palliative care, disseminating knowledge
“Work on the brink” “Watch like a hawk” “Rising stars”
Where nurses are the cookie dough
Where vampires, pirates and aliens roam
Where new roles are under scrutiny
Role: this is what I do
• understanding the process of care across different layers of organisation and across practices involved in enhancing care
• Nurse consultancy = integration of processes between organisational layers and dimensions of practice
Clinical practice
Education Research Service development
Individual Provide care to patients and their families with palliative care needs
Educate individual practitioners about palliative care. education, research and leadership
Support individual practitioners undertaking research. Undertake own research
Understand and interpret policy for self and others
Team Support CNS providing palliative care
Support lecturers in palliative care and cancer care
Co-ordinate research agenda
Facilitate palliative care team development
Organisation
Influence nursing practice across the trust for people with palliative care needs
Influence curriculum design in palliative care and cancer care
Contribute to research within the Trust
Clinical lead for the palliative care for the Trust
National and International
Disseminate knowledge about palliative care at individual, team and organisational levels
This is how I do it
• Working on the brink• Watching like a hawk• Nurturing rising stars
Working on the brink
Watching like a hawk
Rising starRising starI can see that you are.I am glad,for I’ve knownthe talent’s within you.Now its grown.You shine brightfrom certainperspectives.Not fully confident from all aspects.
My challenge: To watch, hold,nurture you;demonstrate those placesunlit yet.All the whileyou judge me,un-nerve me. The places where you shine:intenselyscrutinised.
The dangerrising staris that ifwe are not careful, youwill burn out,not reach yourpotential.
This is the culture in which I do it
Homeless concept
Empty formSpatial vacuumLifeless born
Where vampires, pirates and aliens roam
Vampires suck my blood
And wait for me to turnLike them competitive.I strive to stay alive,Resist the fanged clubInstead, collaborate.
Pirates treat me as role contender, trespasser,accuse me of plunder.I am no skills thief, but see red jolly rogerswarning hold no
quarter.
Aliens baffle meTheir culture quite
unique.We find a meeting spaceIn which to hold debate Tentatively touch it, Learn to communicate
Where new roles are under scrutiny
The sociologistsTell me that these three villains, Have other names insteadTell how professionalsKeep strangers out, doubleClosure I read about. The dangers of these foesInclude demarcation and peer separationdesigned to increase powerbetween colleagues, but create enemies.
Vampires, pirates, aliensSymbolic experience Remind me to value the nurse in consultancy Warns me not to oppress Others or indoctrinate.
Where nurses are the cookie dough
•
Changes
Empty concept
Lived concept
Focus on differentiation
Focus on fit
Focus on establishing a role
Focus on developing
a team/servic
e
Conclusion
• Actions, performances and culture (negotiating role)
• Truthful: ‘something that both ‘figures’ in the light of our understanding of what life is generally like and throws light on the road we’ve traveled and the path ahead’ (Carson 1998:233)