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	Author	Walsh, K.; Moss, C.; Lawless, J.; McKelvie, R.; Duncan, L.
	Title	Puzzling practice: A strategy for working with clinical practice issues			Type	Journal Article
	Year	2008	Publication	International Journal of Law and Psychiatry	Abbreviated Journal
	Volume	14	Issue	2	Pages	94-100
	Keywords	Nursing philosophy; Clinical decision making; Problem solving
	Abstract	The authors share the evolution of innovative ways to explore, 'unpack' and re-frame clinical issues that exist in everyday practice. The elements of these processes, which they call 'puzzling practice', and the techniques associated with them, were delineated over a two year period by the authors using action theory based processes. The authors have evolved several different frameworks for 'puzzling practice' which they draw on and use in their practice development work and in research practice. This paper pays attention to a particular form of puzzling practice that they found to be useful in assisting individual clinicians and teams to explore and find workable solutions to practice issues. In this example 'puzzling practice' uses seven different elements; naming the issue; puzzling the issue; testing the puzzle; exploring the heart of out practice; formulating the puzzle question; visualising the future; and generating new strategies for action. Each of the elements is illustrated by the story and the key foundations and ideas behind each element is explored.
	Call Number	NRSNZNO @ research @			Serial	838
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