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The role of the nurse consultant in palliative care: the story so far: 

The role of the nurse consultant in palliative care: the story so far Sue Duke Nurse Consultant/Principal Lecturer Royal Berkshire and Battle Hospitals NHS Trust and Oxford Brookes University

Role: this is what I do: 

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

This is how I do it: 

This is how I do it Working on the brink Watching like a hawk Nurturing rising stars

Working on the brink: 

Working on the brink

Watching like a hawk: 

Watching like a hawk

Rising star: 

Rising star Rising star I can see that you are. I am glad, for I’ve known the talent’s within you. Now its grown. You shine bright from certain perspectives. Not fully confident from all aspects.

Slide9: 

My challenge: To watch, hold, nurture you; demonstrate those places unlit yet. All the while you judge me, un-nerve me. The places where you shine: intensely scrutinised. The danger rising star is that if we are not careful, you will burn out, not reach your potential.

This is the culture in which I do it: 

This is the culture in which I do it Homeless concept Empty form Spatial vacuum Lifeless born

Where vampires, pirates and aliens roam: 

Where vampires, pirates and aliens roam Vampires suck my blood And wait for me to turn Like them competitive. I strive to stay alive, Resist the fanged club Instead, collaborate.

Slide12: 

Pirates treat me as role contender, trespasser, accuse me of plunder. I am no skills thief, but see red jolly rogers warning hold no quarter.

Slide13: 

Aliens baffle me Their culture quite unique. We find a meeting space In which to hold debate Tentatively touch it, Learn to communicate

Where new roles are under scrutiny: 

Where new roles are under scrutiny

Slide15: 

The sociologists Tell me that these three villains, Have other names instead Tell how professionals Keep strangers out, double Closure I read about.   The dangers of these foes Include demarcation and peer separation designed to increase power between colleagues, but create enemies.   Vampires, pirates, aliens Symbolic experience Remind me to value the nurse in consultancy Warns me not to oppress Others or indoctrinate.

Where nurses are the cookie dough: 

Where nurses are the cookie dough

Changes: 

Changes

Conclusion: 

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)

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