‘Removing the chaos from the narrative’: preparing clinical leaders for practice development

Abstract

This article explores the work of a group of ward leaders who worked in a large acute NHS Trust in London in identifying the need for practice development in their clinical settings and their own leadership development needs. The ward leaders worked with a facilitator over a period of 6 months to develop knowledge, skills and experience in leading practice developments. The project was deliberately focused on helping the ward leaders become aware of the need for change and increase their potential as leaders of changes arising from the project. The ward leaders worked with the facilitator (the lead author) over a 7-month period, utilising a variety of integrated developmental and data collection techniques. The methods employed included reflection on practice, observation of practice, discussions with practitioners, 360-degree feedback and the use of a variety of creative arts. The project was based on the narrative framework of Frank (1995), and this framework was utilised to shape the interpretation of the processes and outcomes of the project. This article thus presents the combined narrative journey of the facilitator and the participants.