Donna Frost

Chapter 8 256 Both attunement and balance were evident, for example, when Margaret, a member of the NPI, spoke honestly to her patient about alcoholism. She used her different knowledges and ways of knowing, combined with effective use of self, to not only speak honestly but to create the conditions in which her patient could accept the message. Working with parts and wholes, with the now and the not yet, Margaret was able to take transformative action while maintaining the shared space. Her commitment to the ideal was also evident, instead of taking the easy, less confronting path. Flowing, balance, synchronicity, synthesis, attunement and use of energy (Figure 8 . 3 )were present as Pieter supportedMrs D after the death of her son. His praxis skills and multiple intelligences (Figure 8 . 2 ) enabled him to shift gears and work with Mrs D in the moment, while maintaining a sheltered space and enabling transformation of her experience of the encounter. Moreover, in Figure 6 . 5 , when members of the NPI were investigating the idea of working with both the now and the not yet, there are examples of energy work, attunement, interplay, flowing, synthesis and melding-blending-harmonising in the statements made to describe this pattern of engagement. It seems plausible that all of Titchen’s ( 2019 ) professional artistry processes, and a changing number of professional artistry dimensions, are present in all the patterns of engagement (see Figure 8 . 1 ) described in this thesis. Further research is needed to determine in what ways the professional artistry processes and dimensions are associated with the particular patterns of engagement. Understanding facilitation of the development of professional artistry in nursing practice The findings of this research reveal the facilitation of thedevelopment of professional artistry to be achievable in themidst of busy practice settings. Following the iterative process of the CCCI lemniscate helped create the conditions for the development of professional artistry, even before we were ourselves able to articulate its nature. Using the CCCI process to investigate professional artistry shone a light on it, watered and nourished it. Rodgers’ ( 2000 ) emphasis on the interconnectedness of concepts and the non- linear nature of their development (Rodgers, Jacelon & Knafl, 2018 ) were found to apply within this inquiry. In learning to understand our practice and ourselves in the world we also came to understand the professional artistry or the potential for professional artistry in our practices andways of being. This meant, for example, that we could to some extent let go of the need to ‘try’ and practice with professional