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The Big Conversation about the Quality of Nursing ... - CLAHRC-NDL

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Feedback<br />

Around 50% <strong>of</strong> delegates filled in feedback forms and <strong>the</strong> majority <strong>of</strong> delegates agreed that<br />

<strong>the</strong>ir understanding <strong>of</strong> <strong>the</strong> national and local leadership agenda has increased and were clearer<br />

<strong>about</strong> <strong>the</strong>ir personal leadership and development needs. <strong>The</strong> delegates were also confident<br />

and committed that <strong>the</strong>y could use what <strong>the</strong>y had learnt in <strong>the</strong>ir own Trust and valued <strong>the</strong><br />

chance for interaction and networking, engaging in genuine conversations from work settings<br />

trying to tackle similar challenges. <strong>The</strong> lack <strong>of</strong> attendance from frontline staff was noted. Whilst<br />

<strong>the</strong> examples <strong>of</strong> best practice and good clinical leadership provided inspiration for delegates,<br />

some remarked that <strong>the</strong>re were too many speakers just after lunch. It was suggested that<br />

instead, <strong>the</strong> open conversations should be had during this time. Delegates also expressed a<br />

wish for more time to have <strong>the</strong> open table conversations across <strong>the</strong> tables.<br />

This was a new and unique event. Early informal conversations indicated that <strong>the</strong> majority <strong>of</strong><br />

delegates were genuinely enthusiastic and wanted to engage with <strong>the</strong> aims <strong>of</strong> <strong>the</strong> day, to be<br />

able to voice opinions freely and exchange ideas. Delegates had <strong>the</strong> chance to network and<br />

meet with like-minded o<strong>the</strong>rs and this was later regarded as one <strong>of</strong> <strong>the</strong> key benefits <strong>of</strong> <strong>the</strong> day.<br />

In addition to <strong>the</strong> guided discussions, <strong>the</strong>se informal conversations over c<strong>of</strong>fee and lunch<br />

supported <strong>the</strong> exchange <strong>of</strong> ideas and shared experiences.<br />

Action learning Points<br />

<strong>The</strong> use <strong>of</strong> storytelling to illustrate points was a strong feature <strong>of</strong> <strong>the</strong> conversations, however,<br />

<strong>the</strong>re were indications that some delegates still did not feel that this was a safe forum. At<br />

future events <strong>the</strong>re could be an even stronger emphasis that delegates have permission to be<br />

honest and express <strong>the</strong>ir opinions and tell stories without a concern <strong>about</strong> negative<br />

consequences.<br />

<strong>The</strong>re were different styles <strong>of</strong> facilitating <strong>the</strong> table top discussions which demonstrated<br />

different skill sets. <strong>The</strong> conversations appeared to be more productive when <strong>the</strong> facilitator was<br />

able to spend most <strong>of</strong> <strong>the</strong> time listening and where where people in <strong>the</strong> groups had <strong>the</strong> space<br />

to seek clarification from each o<strong>the</strong>r (which <strong>of</strong>ten corrected misunderstandings <strong>about</strong> each<br />

o<strong>the</strong>r‟s services) and build up rapport and trust with new colleagues. This shows a need for<br />

good listening skills and taking <strong>the</strong> pace <strong>of</strong> <strong>the</strong> event down in order to cultivate <strong>the</strong><br />

conversations.<br />

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