Background: Some years ago, the Nursing Development Unit of the City Hospital Zurich, a Swiss tertiary hospital, developed a concept for person-centred workplace learning based on the Clinical Nurse Specialists' (CNS) shared values and principles of personcentredness. The concept was widely used for ongoing workplace learning with Registered Nurses (RN). Due to organisational challenges and changes, the members of the Nursing Development Unit felt a strong need to revise and adapt the concept. Methods: The concept was revised in an inclusive, collaborative and participatory way. An iterative process was used including revisiting literature, engaging with the two models of workplace facilitation "critical allies – critical friends" (Hardiman & Dewing 2019) and the concept of active learning. Critical-creative dialogues accompanied the process of revising the concept in all stages. Senior members of the CNS team who have advanced facilitation skills supported the implementation of the revised concept using creative methods and critical dialogues. Results: Feedback from both CNS and RNs were quite positive. RNs enrolled in workplace learning felt empowered and in a safe space. However, critical dialogues also showed that especially the junior CNS needed additional support in using active learning methods in practice. Further, communication with nurse managers appeared to be challenging as they had different expectations to workplace learning than the CNS. Conclusions: The revised concept seems to support the creation for conditions to flourish. Yet, it is vital that junior CNS are supported in using the concept for offering them also conditions for flourishing and growth. Open communication is key. It is eminent to be transparent against all interested parties about what we are doing and listen to their needs and ideas to gain mutual understanding.
Mari Lundberg is Professor of Physiotherapy at Sophiahemmet University and affiliated with University of Gothenburg, where she is active in the Gothenburg Centre for Person-Centred Care (GPCC). Her research focuses on chronic pain, behavioral medicine, and the implementation of person-centred care in clinical practice and education.
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