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

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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

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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

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This is how I do it

• Working on the brink
• Watching like a hawk
• Nurturing rising stars

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Working on the brink
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Watching like a hawk
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Rising star

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

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• 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.

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This is the culture in which I do it

• Homeless concept
• Empty form
• Spatial vacuum
• Lifeless born

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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.

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• 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.

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

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Where new roles are under scrutiny
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• The sociologists
• Tell me that these three villains,
• Have other names instead
• Tell how professionals
• Keep strangers out, double
• Closure I read about.
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• The dangers of these foes
• Include demarcation
• and peer separation
• designed to increase power
• between colleagues,
• but create enemies.

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• Vampires, pirates, aliens
• Symbolic experience
• Remind me to value
• the nurse in consultancy
• Warns me not to oppress
• Others or indoctrinate.

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Where nurses are the cookie dough

•  

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Changes
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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 weve
  traveled and the path ahead (Carson 1998233)