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Conference Proceedings - School of Nursing & Midwifery - Trinity ...

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<strong>School</strong> <strong>of</strong> <strong>Nursing</strong> & <strong>Midwifery</strong>, <strong>Trinity</strong> College Dublin: 8 th Annual Interdisciplinary Research <strong>Conference</strong><br />

Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007<br />

<strong>Conference</strong> <strong>Proceedings</strong><br />

really commend MIT for doing that. Because <strong>of</strong>ten there was not a<br />

lot <strong>of</strong> attendance. Sometimes there was. It sort <strong>of</strong> came in a bit <strong>of</strong> a<br />

dribble really. But the fact that they came, and they kept repeating<br />

themselves. They kept asking for feedback. They kept providing<br />

opportunities for people to see them and say ‘yes this is what we<br />

want’ ‘yes this is what we need’. Wow that is fantastic, it really is”<br />

(Participant 8: 139-151). This process <strong>of</strong> providing information to<br />

people also served as motivation to commence the process and<br />

work on the new curriculum. “I think we are really looking forward<br />

to being involved in the changes” (Participant 1: 37-39).<br />

It was sometimes necessary to ask the curriculum development<br />

team to discuss certain issues in the development team only, and<br />

once a final draft was available, to discuss that with the rest <strong>of</strong> the<br />

people involved. This is a means <strong>of</strong> getting the team focussed on<br />

working towards completing the final product, and not getting<br />

sidetracked by constantly talking to other people about the topic<br />

under discussion, thereby hindering the progress <strong>of</strong> the whole<br />

process. “But we were also told not to discuss anything outside the<br />

curriculum development team which made it difficult for us” (FGR:<br />

279-281). This sometimes led to negative feelings, but at the same<br />

time, some stakeholders appreciated this “focussing” and<br />

“progression” <strong>of</strong> the whole process. “I was engaged as much as<br />

you, and I always felt that when I got there, it was ……..lets get on<br />

with it, lets focus and I found like that day when we did all that bits<br />

<strong>of</strong> paper and we could do this and we could do that. That was a<br />

huge day and the facilitator; they had an outside facilitator I think.<br />

To have that outside facilitation was great, because it created<br />

neutrality and against competing needs. And there were competing<br />

needs in the room at times, and you certainly sensed that”<br />

(Participant 8: 319-329).<br />

However, the stakeholders doubted that it was always possible to<br />

have a consensus decision. “But it is very difficult to get some sort<br />

<strong>of</strong> consensus in such a large organisation in such a short period <strong>of</strong><br />

time. I think sometimes, people have to be up front maybe and just<br />

say, ‘look we have got to make this decision’, instead <strong>of</strong> going<br />

through process <strong>of</strong> appearing that we all had a bit <strong>of</strong> input and we<br />

are going to discuss it” (FGR: 577-583). The difficulty <strong>of</strong> reaching<br />

consensus was also mentioned by another focus group participant,<br />

who said “I think it goes out there, it would have been a good<br />

decision we made, and yes we have to consult wider, no we can’t<br />

seek consensus but it is a possibility and ultimately the decision is<br />

going to be made by the people based on the ideas <strong>of</strong> the<br />

consultation and the constraints that they know about” (FGR: 633-<br />

369).<br />

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