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PDF (PhD Thesis) - UWE Research Repository - University of the ...

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possibilities and tensions <strong>of</strong> reflecting while care giving? And possible<br />

questions shaping Strand 2 might be:<br />

What are <strong>the</strong> constraints that stop reflection happening in practice?<br />

What encourages reflection to happen during practice?<br />

What stories/experiences are shared ei<strong>the</strong>r formally or informally?<br />

How do I reflect during care giving?<br />

Muddy Footprints: Connections with Ward 1<br />

In order to maintain confidentiality and anonymity I have changed <strong>the</strong> ward<br />

name along with all staff names to protect <strong>the</strong>ir identity. It was a busy<br />

surgical ward for 28 patients with an emergency out <strong>of</strong> hours service<br />

functioning on a rota basis. I had been a link lecturer on ward 1 from 2000<br />

until 2002 when <strong>the</strong> role was discontinued, at least 3 years before <strong>the</strong><br />

inquiry began. This link role helped staff support <strong>the</strong> student nurse learning<br />

experience. I had not practised as a nurse in that area; in fact I hadn‘t<br />

worked as a nurse anywhere for about 10 years.<br />

As a link lecturer I visited <strong>the</strong> ward but <strong>the</strong>re was no regularity to <strong>the</strong> visits.<br />

I tended to go when <strong>the</strong>re were problems and when my teaching load<br />

would permit it. Part <strong>of</strong> <strong>the</strong> role involved auditing <strong>the</strong> ward for its learning<br />

environment and appropriateness for student nurse placements. The ward<br />

manager, Sheila, had been in post many years and we built a supportive<br />

reciprocal working relationship. I would listen to her working problems and<br />

<strong>of</strong>fer advice or just be <strong>the</strong>re for her to <strong>of</strong>f-load some <strong>of</strong> her frustrations; she<br />

would listen to some <strong>of</strong> my work frustrations about <strong>the</strong> university. We<br />

seemed to have similar values about patient care and it helped that I had<br />

been a ward sister before. I also dealt directly with <strong>the</strong> staff nurses and<br />

students when <strong>the</strong>re were concerns about <strong>the</strong> progress <strong>of</strong> students. I had<br />

taught some <strong>of</strong> <strong>the</strong> staff nurses at <strong>the</strong> university, but I did not manage to<br />

establish a relationship with all staff members.<br />

58

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