14 research outputs found

    Registered nurses' perceptions and experiences of autonomy: a descriptive phenomenological study

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    Background Professional autonomy is a key concept in understanding nurses’ roles in delivering patient care. Recent research exploring the role of autonomy in the nursing work environment indicated that English and American nurses had differing perceptions of autonomy. This qualitative study aimed to explore the understanding and experiences of autonomy of nurses working in England. Methods A descriptive phenomenological analysis of data from 48 semi-structured interviews with registered nurses from two National Health Service (NHS) hospitals (purposive sample) was used to explore the concept of autonomy. Results Six themes were identified: working independently; working in a team; having professional skills and knowledge; involvement in autonomy; boundaries around autonomy; and developing autonomy requires support. A key finding was that nurses related autonomy to their clinical work and to the immediate work environment of their ward, rather than to a wider professional context. Nurses also perceived that autonomy could be turned off and on rather than comprising an integrated aspect of nursing. Conclusions Findings suggest that nurses in England, as framed by the sample, had a local ward-focused view of autonomy in comparison to nurses in America, who were reported to relate autonomy to a wider involvement in hospital level committees. Findings further indicate that autonomy was practiced occasionally, rather than incorporated into practice. Findings highlight the need for nurses in England to adopt a broader perspective and actively contribute to writing hospital guidelines and policies that recognise the importance of autonomy to nurse training and practice

    Understanding change: lessons for school leaders

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    There is no getting away from change — it is an inescapable part of educational life. The role of the School Leader is critical in managing this process effectively. In the main, however, their expertise lies in managing change in relation to the curriculum and pedagogy. They often only have a superficial understanding of the psychology and dynamics of supporting their key resource, their staff, through this process of change in the strive for school improvement. Stress is a by-product of change, and institutions deal with it in a range of ways. During high profile change, the School Leader themselves can become vulnerable. An important issue for discussion is whether anyone supports them during this period of change. Who minds the minders? This paper will examine the inter-relationship between the key players and the impact of change on staff, the barriers to change and lessons to be learnt

    Evolving headship : developing from novice to expert practitioner

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    Even when newly appointed to their first Headship, School Leaders are expected to 'hit the ground running'. There is an expectation that they will have the necessary skills, experience, and professional judgement to manage their staff and school effectively, leading their institution through change, inspection and delivering ever higher standards. How does a School Leader acquire and develop the high level professional competences required to manage a complex organisation at the outset of their career? This paper explores the contribution of Critical Incidents in supporting development and evolution of School Leaders from novice to expert practitioner, and implications for their Continued Professional Development

    Pushing back the boundaries: the case for advanced professional development

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    The advanced professional development of experienced educationalists is seen as an entitlement that is critical in an evolving knowledge-based society. It is proposed that the best professional development is underpinned by the principles of the educator as a ‘reflective practitioner’ and as a ‘creator of knowledge’, enabling the evolution from novice to expert practitioner and demonstrating institutional impact. Contribution to the evidence-base of the profession through empirical research is seen as an essential part of advanced professional development, however because of poor dissemination, this research remains an underused resource
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