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ourselves as action researchers, in thinking we have influenced and changed a system when in reality an appreciation of the possibilities for change is what has occurred. Yet, in naming the connections and systemic and cultural processes this can be the beginnings of implementing sustainable change. And what has ‗action‘ meant in this inquiry? This has been a challenge to articulate. I have realised action takes many forms, both tangible and intangible. Here, I have shown it embraces processes that involve ‘talk‘ or ‗conversation‘ such as poetry, whinging, gossiping, and relational inquiry. Action, here, has involved noticing and reflecting upon one‘s body and own internal and relational processes. As with all reflections, just when you think you‘ve finished there is always something else to reflect upon! Cycles of reflection and action could carry on forever, so that I have experienced a tension in when and where to stop, potentially repeating and diluting the potency of this thesis. For me, this confirms the value of relational inquiry especially in determining one‘s own values, blind spots or sense of power in situations. And the poetry has been the form that has allowed me to use my power in a connecting and distilled format. It was suggested that I could have been more positive and bolder about the unique contribution of this thesis. This in part reflects my unwillingness to ‗sell‘ myself and my ideas, while it also reflects my belief that new knowledge is rare; rather knowledge tends to be re-named, re-positioned or applied in a new context. I have struggled to overcome this notion throughout the duration of the PhD and this may have been reflected here in this last chapter, where I may have shown my own powerlessness by playing down, discounting or possibly undermining what I have to say. This I believe, as I have shown earlier, is what seems to happen in practice to many nurses when trying to take up their leadership to instigate changes. Yet, I believe that while my next task is to disseminate what I consider to be the key learning from this thesis, it is for the reader and the co-inquirers who took part in the inquiry to identify whether this thesis resonates and 285
has value. My hope is that this thesis, whilst not necessarily providing tangible outcomes, provides an insight and understanding of a nursing culture which may inform nursing leadership and organisational development in the NHS. 286
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Hopkinson, C. (2010) More than a go
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Abstract Reflection-in-action is a
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Special Thanks Special thanks are d
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Conclusion.........................
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List of Appendices Appendix 1 Infor
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stories and metaphor as ways of ref
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mostly learning happened through pl
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other patients on the unit who need
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The next story I present also had a
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help us process the experience. I d
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emotional and difficult events in t
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In the Classroom I won‘t do this
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through an avoidance of the body/mi
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Action and Stories in Developing Pr
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mattered to them and were relevant
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Clarke et al (1996) suggested refle
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and qualitative approaches have bee
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alienated from the thinking and dec
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In collaborative inquiry ‗critica
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enabling organisational patterns ov
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ideas with Bourdieu‘s concepts wh
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process 13 which has been central t
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encompasses Bourdieu‘s complex co
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Gaining Ethical Approval: A Story o
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process. Nevertheless, the committe
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time. Two practitioners joined the
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generation was through sharing prac
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from returning to practice and the
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conversation in order to deepen our
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possibilities and tensions of refle
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and gaps in my knowledge so that my
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esearcher (and reader) cannot under
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Strand 2: Emerging Processes As par
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searching and reading published lit
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Chapter 3: A Poetic Inquiry Every p
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What Does the Healthcare Literature
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There are several themes emerging f
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Having searched the poetry literatu
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objectivity and functionality throu
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Qualitative Inquiry journal in thei
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―defamiliarize‖; science freque
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that I puzzled over what the powerf
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I wish I could take this in my stri
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A few days later there was a discus
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Moving towards Co-Inquiry through S
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‗The Wounded Nurse‘ created a d
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off for mandatory training sessions
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experiential exercise, a lecturer w
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Just a Pair of Hands I get my hands
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potentially stifles the spontaneity
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layered and provide new insights ov
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Surprisingly I did not anticipate a
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illusionary as the Douglas Adams qu
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Reflecting through Diary Writing To
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comfortable, positive and relaxed.
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For Jordon, unless she had a perfor
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used time in a contradictory way; s
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Alex found being so busy was isolat
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go and find the area is actually ok
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Does a Busy Environment Affect Refl
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Jane: Well staff won‟t…once upo
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About a year later, in March 2006,
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I started to wonder if the busy syn
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My argument is, that if ‗being bu
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aspects of nursing may hold more so
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was also prevalent and was a way th
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Photograph from Davies (1980 p. 7-8
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Nightingale was a woman of action a
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and romantic/feminine appeared most
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woman‘. I see this as a gender an
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The kettle‘s boiled Milk and suga
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Whinging Women? Gossip, whinge, nag
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whinge? That‟s interesting, it‟
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Breaking News: You need to stop wri
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The story above highlights the loss
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experience with the ethics committe
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This made me wonder about the compl
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She thought it helped nurses reliev
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I realised through the creative wri
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emotions can become exaggerated in
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she ‗likes‘ all her patients th
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my patient, you answer it‖; somet
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sibling derives. Therefore in medie
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Susan had also received a phone-cal
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So what does Susan learn? To keep h
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Silence and/or Reflection Inaction?
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the usual place for this form of ca
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Conclusion This chapter has questio
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game. This embodied habitus keeps n
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Minnie 45 captured the difficulties
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can transform and widen one‘s per
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drawn to this question. In the last
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Perhaps this was due to nurses not
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combination, or purely a matter of
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mistrust of hierarchy and are not p
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Recently I discovered in Native Ame
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I think I can veer between feeling
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At times you feel you don‟t have
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to gain more resources and to flag
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The rabbit twitches it‘s whiskers
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She talked about the freeze on post
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context in which the person may be
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imagine staff will feel personally
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We discussed how this process would
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exposing the imaginary boundaries a
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unlikely to encourage political or
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Chapter 7: Embodying Reflexivity: D
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cultural and systemic tensions alre
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Rising above the Wall: Getting Angr
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does not permit this kind of action
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At the bottom of the power station
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when the staff nurse who I imagine
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So when I lost it, on the ward, I m
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change it? Thus getting angry could
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y creating a dialogue. Similarly, S
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I‟ve always focused more on pract
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Careful Talk: Naming Emotions and D
Page 235 and 236: I‟m getting a lot of confidence i
Page 237 and 238: pavement”. This image came to rep
Page 239 and 240: Shocking He was chatting Then dead
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Page 243 and 244: for incompetence? In describing vul
Page 245 and 246: They don‟t see that they have got
Page 247 and 248: esponses‘ and ‗what is yours‘
Page 249 and 250: Chapter 8: Invisible Learning: More
Page 251 and 252: 206). I have tried to demonstrate s
Page 253 and 254: I think this misses the point of Bo
Page 255 and 256: came to embody and experience them
Page 257 and 258: change can be orchestrated, sustain
Page 259 and 260: field of feeling unsupported by man
Page 261 and 262: silent subversion, their felt power
Page 263 and 264: I suggest a lack of two-way explici
Page 265 and 266: etween nurses while talking away an
Page 267 and 268: evident may feel physically tired t
Page 269 and 270: Embodying reflexivity mostly uses s
Page 271 and 272: a blanket answer because being over
Page 273 and 274: power) concentrate on time saving,
Page 275 and 276: Many of the training needs and chan
Page 277 and 278: creating an illusion of control and
Page 279 and 280: possible to learn from stories irre
Page 281 and 282: interplay between the two positions
Page 283 and 284: Final Thoughts or Beginnings? Refle
Page 285: I was further challenged to conside
Page 289 and 290: Bleakley, A. (2000b) Writing with I
Page 291 and 292: Clandinin, D.J. Connelly, F.M. (199
Page 293 and 294: de Vault, M.L. (1997) Personal Writ
Page 295 and 296: Ghaye, T., Lillyman, S. (2006) Lear
Page 297 and 298: Hodkinson, P., Biesta, G., James, D
Page 299 and 300: Johns, C. Freshwater, D. (1998) Tra
Page 301 and 302: Midgley, M. (1996) Utopias, Dolphin
Page 303 and 304: Powell, J. (1989) The reflective pr
Page 305 and 306: Searle, R., Sheehan, D. (2008) Inno
Page 307 and 308: Tripp, D. (1998) Critical Incidents
Page 309 and 310: Appendix 1 Information Sheet for Pa
Page 311 and 312: sense of the research material. You
Page 313 and 314: produced. However, at the end of th
Page 315 and 316: Date.................. I can be con
Page 317 and 318: Appendix 4 Interview Schedule for S
Page 319 and 320: many as I would like due to other w
Page 321 and 322: poems. Claire has used pros (sectio
Page 323 and 324: Appendix 8 Why Reflect X NHS Trust
Page 325: Guidance Notes 1. Description of ex
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