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Facilitation skills: the catalyst for increased effectiveness in consultant practice and clinical systems leadership |
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| Authors: | Kim Manley Angie Titchen |
| Institution: | 1. England Centre for Practice Development, Canterbury Christ Church University, Canterbury, UK;2. Practice Development and Transformational Research, East Kent Hospitals University NHS Foundation Trust, Canterbury, UK;3. School of Health Sciences, University of Surrey, Guildford, Surrey, UK;4. School of Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia;5. Independent Practice Development Consultant, Oxford, UK;6. Institute of Nursing &7. Health Research, University of Ulster, Belfast, UK;8. The Education for Practice Institute, Charles Sturt University, Sydney, New South Wales, Australia;9. Knowledge Centre for Evidence-Based Practice, Fontys University of Applied Sciences, Eindhoven, the Netherlands;10. Royal College of Nursing Research Institute, Warwick Medical School, University of Warwick, Coventry, UK |
| Abstract: | Consultant practitioner is the pinnacle of the clinical career ladder for all health care disciplines in the United Kingdom. Consultant nurse, midwife and health visitor roles build on the clinical credibility and expertise characteristic of advanced level practice, but also possess expertise in: clinical systems leadership and the facilitation of culture change, learning and development; advanced consultancy approaches, and research and evaluation to prioritise person-centred, safe and effective care across patient pathways. This project aimed to help new and emerging consultants to become more effective in their role through a programme of support to develop their expertise. Emancipatory action research, supported by claims, concerns and issues tool, derived from Stakeholder Evaluation, and other methods (active learning, action learning, collaborative workshops and individual tools e.g. qualitative 360 degree feedback and reflective reviews) comprised the supportive intervention which enabled participants to research their own practice. The programme’s methodology and methods helped participants to: research their own practice; theorise from practice; grow the facilitation skills needed to develop and demonstrate their own effectiveness; foster the effectiveness of others and; transform practice culture. Greater effectiveness in their multiple roles was demonstrated, as was the impact of this on others, services and organisations. The study concludes that the support programme augmented by the methodology, facilitation skills and the 10 principles derived from a concept analysis of work-based learning is central to achieving improved effectiveness and transformation of others, services and organisations. Theoretical insights at collective/community levels also resulted. Key recommendations are identified for commissioners, higher education and research. |
| Keywords: | Consultant practitioners facilitation effectiveness practitioner-researcher |