Sally E Hardy - Academia.edu (original) (raw)
Papers by Sally E Hardy
Delivering new public health services:impact and influence on changes to professional roles
Evaluation approaches in practice development
An Exploration of Practice Development Evaluation: Unearthing Praxis
International Practice Development in Nursing and Healthcare, 2007
This chapter captures how a cooperative inquiry undertaken as part of an International Practice D... more This chapter captures how a cooperative inquiry undertaken as part of an International Practice Development Colloquium (IPDC) unearthed the notion of praxis evaluation. The specific aims of our group focused on the issue of evaluation and its relevance to practice ...
Evidence-based Nursing Practice
Evidence-based Practice, 2000
Reflections on how to write and organise a research thesis
Nurse Researcher, 2005
Writing up research projects and presenting a thesis are among the most challenging and time-cons... more Writing up research projects and presenting a thesis are among the most challenging and time-consuming elements of the research process. The authors provide a structured guideline to help students, particularly those undertaking Master's degrees while still practising in clinical areas, to overcome the challenges of writing their thesis and produce a cogent, logical and reflective piece of work.
Mental and physical health comordibity: Political imperatives and practice implications
International Journal of Mental Health Nursing, 2012
Insufficient priority is being given to meet the physical health-care needs of people with mental... more Insufficient priority is being given to meet the physical health-care needs of people with mental illness. Mental health nurses, as the largest professional group working in mental health care, have a pivotal role in improving the physical health and well-being of people with mental illness. Through health-promotion strategies, alongside recovery-focused support aimed at avoiding deteriorating physical health, mental health nurses can significantly contribute to improving the current rate of premature death experienced by people with enduring mental illness. Drawing from contemporary policy, alongside practical examples taken from the published literature, this paper considers what constitutes recommended best practice in dealing with the physical health-care needs of people with mental illness. The role that UK-based health-care policy plays in shaping care delivery that meets the needs of people with mental illness is explored and placed within the context of global health concerns. Recommendations are made on how mental health nursing can work to provide evidence for a reassertion that nurses are well placed to work across organizational and professional boundaries to deliver person-centred care and a holistic approach to population health and well-being.
Supporting student mental health nurses in clinical placement through virtual in-practice support (VIPS): Innovation uptake and the ‘VIPS’ project
Nurse Education Today, 2016
The integration of technology in nurse education has become an essential element of academic prac... more The integration of technology in nurse education has become an essential element of academic practice. Yet innovation uptake between academic institutions across the four countries of the UK and their clinical practice partners has proved problematic, leading to a slow introduction of digitally enhanced teaching and learning innovations, particularly in the area of clinical decision making and leadership. The Virtual in Practice Support (VIPS) project involved two academic institutions working with the same mental health care service partner aiming to maximise student clinical placement learning. Student nurses in their final year of training were invited to take part in testing the viability of distance e-tutoring (via computer access to academic nurse lecturers) for facilitated critical reflection. An evaluation of the use of video linked conference sessions, set up for students to undertake a group based online (i.e. virtual) group tutorial is presented. All participants completed an evaluation data sheet using a five point Likert scale and free text evaluation feedback form completed at the end of each online tutorial session. Students were also invited to a focus group and all tutors were interviewed at the completion of the project. The VIPS project findings highlight; i) the importance of a clear project vision for innovation uptake ii) consequences of working with innovation champions and iii) how technology can be used to maximise student learning across geographical distance through online facilitated group critical discussion. VIPS' participants were able to articulate positive outcomes as a result of engaging in a multi-institutional project that capitalised on the richness of nursing clinical practice learning experience for both the students and the academics involved as innovation champions.
Revealing Nursing Expertise through Practitioner Enquiry
... had come to work together from different paths, Kim having worked at the Chelsea &amp... more ... had come to work together from different paths, Kim having worked at the Chelsea & Westminster in London, and Brendan at Oxfordshire Commu-nity Health Trust/National Institute for Nursing, where Angie Titchen was also working (with Sue Pembrey, Alison Binnie and others ...
Enhancing facilitation skills through a practice development Masterclass: The other side of the rainbow
ABSTRACT Objective Professional impact and practice based outcomes of an inaugural Practice Devel... more ABSTRACT Objective Professional impact and practice based outcomes of an inaugural Practice Development Facilitation Masterclass, for facilitators of Practice Development activity in Victoria, Australia, is presented. The Masterclass educational program format is ...
The state of play in child and adolescent mental healthcare services (England): not in front of the children?
Evidence-based nursing, 2015
Counselling and psychotherapy in mental health nursing: Therapeutic encounters
Evaluation approaches in practice development
Background: The project took place in a cancer service for teenagers and young adults (13-24 year... more Background: The project took place in a cancer service for teenagers and young adults (13-24 years) in the UK, as part of a large service change project. Chemotherapy that had traditionally been given in an inpatient setting was to be transformed into an ambulatory care model. Aim: The authors aimed to lead a change in practice whereby patients receiving chemotherapy would be taught to monitor and test their own urine output by the staff nurses. This meant challenging a matriarchal nursing culture within the team. Learning drawn from leading the project is discussed. Methods: Various approaches were used to initiate and embed change within the ward, including producing learning tools and resources, listening to the team and providing creative opportunities for feedback. Critical reflection was used to facilitate learning about change leadership and practice development. Findings: Initial resistance to change led to the development of leadership skills and a deeper understanding of t...
Sexualities
Bareback sex continues to fuel the HIV epidemic among men who have sex with men but despite the f... more Bareback sex continues to fuel the HIV epidemic among men who have sex with men but despite the fact that much academic attention has been focused on the sexual behaviour of this population few authors have considered the significance of sexual position. In order to explore this relatively under-examined factor, interviews were conducted with 13 HIV-negative and unknown status gay men who had recently engaged in bareback sex. Using Interpretative Phenomenological Analysis and through the lens of sexual position, the findings were organized across three super-ordinal themes. There were some areas in which there was little difference between the men's experiences of engaging in bareback as tops or bottoms (for instance, how participants connected with barebacking partners). In other areas, however, there were clear differences in men's experiences according to sexual position, particularly in the interpersonal dynamic between tops and bottoms during bareback sex encounters, wh...
A Novel Gay ‘Right’ of Passage: Constructing Ceremonies, Conveying Meaning, and Displaying Identities Through Men’s Civil Partnerships’
Journal of psychiatric and mental health nursing, 1999
In order to contextualize Altschul's interest in group dynamics we present a brief history of... more In order to contextualize Altschul's interest in group dynamics we present a brief history of staff group work approaches in the UK and USA. Using case examples, the work of staff group sensitivity and group supervision is described. The difficulties of working in staff groups are highlighted and the antipathy towards group practice is discussed. It is argued that learning about conflict resolution in staff groups prepares nurses for dealing with conflicts in clinical practice. The case for re-invigorating interest in group theory and practice is presented. In presenting our reflections on staff group work, we hope not only to re-kindle the type of interest in groups that inspired Altschul but also to represent the case that it is ill conceived to attempt the work of mental health nursing without recourse to the supervisory resources of group theory, practice and support. It is through group feedback that mental health nurses and other health professionals can extend their learn...
Purpose: To demonstrate that practice development is an effective strategy to enable an aged care... more Purpose: To demonstrate that practice development is an effective strategy to enable an aged care team to embed a palliative approach to care of dying people into practice culture. Method: Practice development methodology was integrated with an action research evaluation framework, as a systematic and reflexive process of inquiry aimed at achieving innovative and transformative end of life care. Drawing on multiple sources of observational, group and interview data, evidence-based guidelines and the use of arts-informed active learning methods, a multidisciplinary aged care team explored personal and professional values and beliefs about principles of care delivery. These were creatively translated into meaningful expressions of evidence-informed end of life care and embedded into daily clinical practice. Results: Reflexive analysis of multiple sources of data, alongside the use of evidence-based guidelines, supported the collaborative development of a 'palliative care chest of drawers' (PCCOD). As an artefact and one outcome of using practice development in the implementation of a palliative approach to care, the PCCOD brought visible, shared meanings and new ways of working to support care of people who are dying, their families, other facility residents and staff. The PCCOD enabled the aged care team to embed practice innovations into normative patterns of care. Conclusion: Practice development strategies are effective in enabling practitioner-led innovation in clinical practice through integrated inquiry and transformative processes. Implications for practice: The use of a practice development, arts-informed approach:
An Exploration of Practice Development Evaluation: Unearthing Praxis
International Practice Development in Nursing and Healthcare, 2007
This chapter captures how a cooperative inquiry undertaken as part of an International Practice D... more This chapter captures how a cooperative inquiry undertaken as part of an International Practice Development Colloquium (IPDC) unearthed the notion of praxis evaluation. The specific aims of our group focused on the issue of evaluation and its relevance to practice ...
Practice Development in Health Care, 2009
Work-based learning has the potential to transform health care services to improve patients' and ... more Work-based learning has the potential to transform health care services to improve patients' and users' experiences, support the implementation of evidence, provide value for money, improve productivity and achieve continued modernization. This article describes the fi ndings from a literature-based concept analysis that explored a contemporary understanding of workbased learning relevant to modern health care practice and education. Many descriptions of work-based learning exist but it is diffi cult to defi ne the concept in a way that practitioners can understand and relate to in their daily working lives. The article identifi es the distinguishing attributes of work-based learning, together with its enabling factors and consequences. From this literature-based concept analysis, it is concluded that work-based learning is a Manley et al. process that concentrates on how learning takes place within the workplace. It is stimulated by workplace activities that engage the learner in discussion and debate with workplace colleagues. This critical dialogue, if facilitated and adequately resourced, can trigger a transformation of workplace culture into one that captures situated learning to enhance not only the individual, but also team and even organizational working practices. Copyright were reviewed that were not picked up by the search strategy. Owing to time constraints within which this work was undertaken, the search strategy focused on the disciplines of health and medicine. We recognize that this decision limited our full consideration of the wider educational literature and works relating to WBL outside health care. Nevertheless, this article provides a useful base paper for any future theoretical development co-located with the wider education literature.
Nursing Science Quarterly, 2006
There is now international recognition of the importance of practice expertise in modern and effe... more There is now international recognition of the importance of practice expertise in modern and effective health services. The Expertise in Practice Project in the United Kingdom began in May 1998 and continued to 2004. It included nurses working in all four countries of the United Kingdom, and it covered clinical specialists from pediatrics to palliative care. The project added to the current understanding of what nursing practice expertise is, through the identification and verification of attributes and factors which enable expert practice. The proposed framework offers a language for sharing what constitutes practice expertise and offers insight into what occurs between the expert practitioner and the people that experience their care. The Expertise in Practice Project demonstrates that nurses affect change and facilitate performance and organizational development.
Delivering new public health services:impact and influence on changes to professional roles
Evaluation approaches in practice development
An Exploration of Practice Development Evaluation: Unearthing Praxis
International Practice Development in Nursing and Healthcare, 2007
This chapter captures how a cooperative inquiry undertaken as part of an International Practice D... more This chapter captures how a cooperative inquiry undertaken as part of an International Practice Development Colloquium (IPDC) unearthed the notion of praxis evaluation. The specific aims of our group focused on the issue of evaluation and its relevance to practice ...
Evidence-based Nursing Practice
Evidence-based Practice, 2000
Reflections on how to write and organise a research thesis
Nurse Researcher, 2005
Writing up research projects and presenting a thesis are among the most challenging and time-cons... more Writing up research projects and presenting a thesis are among the most challenging and time-consuming elements of the research process. The authors provide a structured guideline to help students, particularly those undertaking Master's degrees while still practising in clinical areas, to overcome the challenges of writing their thesis and produce a cogent, logical and reflective piece of work.
Mental and physical health comordibity: Political imperatives and practice implications
International Journal of Mental Health Nursing, 2012
Insufficient priority is being given to meet the physical health-care needs of people with mental... more Insufficient priority is being given to meet the physical health-care needs of people with mental illness. Mental health nurses, as the largest professional group working in mental health care, have a pivotal role in improving the physical health and well-being of people with mental illness. Through health-promotion strategies, alongside recovery-focused support aimed at avoiding deteriorating physical health, mental health nurses can significantly contribute to improving the current rate of premature death experienced by people with enduring mental illness. Drawing from contemporary policy, alongside practical examples taken from the published literature, this paper considers what constitutes recommended best practice in dealing with the physical health-care needs of people with mental illness. The role that UK-based health-care policy plays in shaping care delivery that meets the needs of people with mental illness is explored and placed within the context of global health concerns. Recommendations are made on how mental health nursing can work to provide evidence for a reassertion that nurses are well placed to work across organizational and professional boundaries to deliver person-centred care and a holistic approach to population health and well-being.
Supporting student mental health nurses in clinical placement through virtual in-practice support (VIPS): Innovation uptake and the ‘VIPS’ project
Nurse Education Today, 2016
The integration of technology in nurse education has become an essential element of academic prac... more The integration of technology in nurse education has become an essential element of academic practice. Yet innovation uptake between academic institutions across the four countries of the UK and their clinical practice partners has proved problematic, leading to a slow introduction of digitally enhanced teaching and learning innovations, particularly in the area of clinical decision making and leadership. The Virtual in Practice Support (VIPS) project involved two academic institutions working with the same mental health care service partner aiming to maximise student clinical placement learning. Student nurses in their final year of training were invited to take part in testing the viability of distance e-tutoring (via computer access to academic nurse lecturers) for facilitated critical reflection. An evaluation of the use of video linked conference sessions, set up for students to undertake a group based online (i.e. virtual) group tutorial is presented. All participants completed an evaluation data sheet using a five point Likert scale and free text evaluation feedback form completed at the end of each online tutorial session. Students were also invited to a focus group and all tutors were interviewed at the completion of the project. The VIPS project findings highlight; i) the importance of a clear project vision for innovation uptake ii) consequences of working with innovation champions and iii) how technology can be used to maximise student learning across geographical distance through online facilitated group critical discussion. VIPS' participants were able to articulate positive outcomes as a result of engaging in a multi-institutional project that capitalised on the richness of nursing clinical practice learning experience for both the students and the academics involved as innovation champions.
Revealing Nursing Expertise through Practitioner Enquiry
... had come to work together from different paths, Kim having worked at the Chelsea &amp... more ... had come to work together from different paths, Kim having worked at the Chelsea & Westminster in London, and Brendan at Oxfordshire Commu-nity Health Trust/National Institute for Nursing, where Angie Titchen was also working (with Sue Pembrey, Alison Binnie and others ...
Enhancing facilitation skills through a practice development Masterclass: The other side of the rainbow
ABSTRACT Objective Professional impact and practice based outcomes of an inaugural Practice Devel... more ABSTRACT Objective Professional impact and practice based outcomes of an inaugural Practice Development Facilitation Masterclass, for facilitators of Practice Development activity in Victoria, Australia, is presented. The Masterclass educational program format is ...
The state of play in child and adolescent mental healthcare services (England): not in front of the children?
Evidence-based nursing, 2015
Counselling and psychotherapy in mental health nursing: Therapeutic encounters
Evaluation approaches in practice development
Background: The project took place in a cancer service for teenagers and young adults (13-24 year... more Background: The project took place in a cancer service for teenagers and young adults (13-24 years) in the UK, as part of a large service change project. Chemotherapy that had traditionally been given in an inpatient setting was to be transformed into an ambulatory care model. Aim: The authors aimed to lead a change in practice whereby patients receiving chemotherapy would be taught to monitor and test their own urine output by the staff nurses. This meant challenging a matriarchal nursing culture within the team. Learning drawn from leading the project is discussed. Methods: Various approaches were used to initiate and embed change within the ward, including producing learning tools and resources, listening to the team and providing creative opportunities for feedback. Critical reflection was used to facilitate learning about change leadership and practice development. Findings: Initial resistance to change led to the development of leadership skills and a deeper understanding of t...
Sexualities
Bareback sex continues to fuel the HIV epidemic among men who have sex with men but despite the f... more Bareback sex continues to fuel the HIV epidemic among men who have sex with men but despite the fact that much academic attention has been focused on the sexual behaviour of this population few authors have considered the significance of sexual position. In order to explore this relatively under-examined factor, interviews were conducted with 13 HIV-negative and unknown status gay men who had recently engaged in bareback sex. Using Interpretative Phenomenological Analysis and through the lens of sexual position, the findings were organized across three super-ordinal themes. There were some areas in which there was little difference between the men's experiences of engaging in bareback as tops or bottoms (for instance, how participants connected with barebacking partners). In other areas, however, there were clear differences in men's experiences according to sexual position, particularly in the interpersonal dynamic between tops and bottoms during bareback sex encounters, wh...
A Novel Gay ‘Right’ of Passage: Constructing Ceremonies, Conveying Meaning, and Displaying Identities Through Men’s Civil Partnerships’
Journal of psychiatric and mental health nursing, 1999
In order to contextualize Altschul's interest in group dynamics we present a brief history of... more In order to contextualize Altschul's interest in group dynamics we present a brief history of staff group work approaches in the UK and USA. Using case examples, the work of staff group sensitivity and group supervision is described. The difficulties of working in staff groups are highlighted and the antipathy towards group practice is discussed. It is argued that learning about conflict resolution in staff groups prepares nurses for dealing with conflicts in clinical practice. The case for re-invigorating interest in group theory and practice is presented. In presenting our reflections on staff group work, we hope not only to re-kindle the type of interest in groups that inspired Altschul but also to represent the case that it is ill conceived to attempt the work of mental health nursing without recourse to the supervisory resources of group theory, practice and support. It is through group feedback that mental health nurses and other health professionals can extend their learn...
Purpose: To demonstrate that practice development is an effective strategy to enable an aged care... more Purpose: To demonstrate that practice development is an effective strategy to enable an aged care team to embed a palliative approach to care of dying people into practice culture. Method: Practice development methodology was integrated with an action research evaluation framework, as a systematic and reflexive process of inquiry aimed at achieving innovative and transformative end of life care. Drawing on multiple sources of observational, group and interview data, evidence-based guidelines and the use of arts-informed active learning methods, a multidisciplinary aged care team explored personal and professional values and beliefs about principles of care delivery. These were creatively translated into meaningful expressions of evidence-informed end of life care and embedded into daily clinical practice. Results: Reflexive analysis of multiple sources of data, alongside the use of evidence-based guidelines, supported the collaborative development of a 'palliative care chest of drawers' (PCCOD). As an artefact and one outcome of using practice development in the implementation of a palliative approach to care, the PCCOD brought visible, shared meanings and new ways of working to support care of people who are dying, their families, other facility residents and staff. The PCCOD enabled the aged care team to embed practice innovations into normative patterns of care. Conclusion: Practice development strategies are effective in enabling practitioner-led innovation in clinical practice through integrated inquiry and transformative processes. Implications for practice: The use of a practice development, arts-informed approach:
An Exploration of Practice Development Evaluation: Unearthing Praxis
International Practice Development in Nursing and Healthcare, 2007
This chapter captures how a cooperative inquiry undertaken as part of an International Practice D... more This chapter captures how a cooperative inquiry undertaken as part of an International Practice Development Colloquium (IPDC) unearthed the notion of praxis evaluation. The specific aims of our group focused on the issue of evaluation and its relevance to practice ...
Practice Development in Health Care, 2009
Work-based learning has the potential to transform health care services to improve patients' and ... more Work-based learning has the potential to transform health care services to improve patients' and users' experiences, support the implementation of evidence, provide value for money, improve productivity and achieve continued modernization. This article describes the fi ndings from a literature-based concept analysis that explored a contemporary understanding of workbased learning relevant to modern health care practice and education. Many descriptions of work-based learning exist but it is diffi cult to defi ne the concept in a way that practitioners can understand and relate to in their daily working lives. The article identifi es the distinguishing attributes of work-based learning, together with its enabling factors and consequences. From this literature-based concept analysis, it is concluded that work-based learning is a Manley et al. process that concentrates on how learning takes place within the workplace. It is stimulated by workplace activities that engage the learner in discussion and debate with workplace colleagues. This critical dialogue, if facilitated and adequately resourced, can trigger a transformation of workplace culture into one that captures situated learning to enhance not only the individual, but also team and even organizational working practices. Copyright were reviewed that were not picked up by the search strategy. Owing to time constraints within which this work was undertaken, the search strategy focused on the disciplines of health and medicine. We recognize that this decision limited our full consideration of the wider educational literature and works relating to WBL outside health care. Nevertheless, this article provides a useful base paper for any future theoretical development co-located with the wider education literature.
Nursing Science Quarterly, 2006
There is now international recognition of the importance of practice expertise in modern and effe... more There is now international recognition of the importance of practice expertise in modern and effective health services. The Expertise in Practice Project in the United Kingdom began in May 1998 and continued to 2004. It included nurses working in all four countries of the United Kingdom, and it covered clinical specialists from pediatrics to palliative care. The project added to the current understanding of what nursing practice expertise is, through the identification and verification of attributes and factors which enable expert practice. The proposed framework offers a language for sharing what constitutes practice expertise and offers insight into what occurs between the expert practitioner and the people that experience their care. The Expertise in Practice Project demonstrates that nurses affect change and facilitate performance and organizational development.