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I was entrusted with narratives that were deeply moving and personal about how it was to function in the role. These were powerful pieces of dialogue which spoke to the role, the reality of the practice under such expectations and how they all made sense of these. I witnessed the tiredness and the sense of apathy that they could not make a difference. I equally saw their commitment and obvious enjoyment of the role and the research, hence the reflections contained in “The Race”. Whilst at times, in the thick of it, the group expressed such apathy the solutions reached and the outcomes achieved were remarkable. The in-depth analysis of the role achieved by those in the role that this methodology afforded us resulted in useful, significant outcomes. This research will, I believe, contribute to making a difference. My comments in the final action research meeting reflect this belief.

I thank you all for the trust and for the gems of wisdom you gave me … I know we did a good job for our colleagues and those who will be the future CNLs that will walk down the hill to their cars tired but so secure that they made such a difference to their staff and their patients. To our group rest now and know you all were magnificent. I did not have the answers but gloriously and proudly we had the answers.

Post Script

The professional development proposal, which included preparation and ongoing professional support plus an intranet site and senior nurse lounge was presented, as an agenda item at Operations Managers’ forums; nursing directorate and senior nurse forums (see Appendix 7). All supported the professional development concept. This concept was electronically circulated to the CNL group with an invitation attached to meet with me if they wished to use the model. Four CNLs responded to the invitation. Three existing CNLs drew up a learning development plan for themselves and one further CNL discussed how ongoing work with the nursing team may be facilitated.

The intranet site has been established, entitled CNM Network, with photos and profiles of CNLs included. This is to be extended to other areas outside of the larger hospital. This project is well supported by the information technology and communication experts in the


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