Clinical development units (nursing): Issues surrounding their establishment and survival


  • Jennifer Greenwood RN, RM, DipN, RNT, DipEd, MEd, PhD, FRCNA

    1. Professor of Nursing, Western Sydney Area Health Service/University of Western Sydney, Nepean, New South Wales, Australia
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Correspondence: Jennifer Greenwood Professor of Nursing, Professorial Nursing Unit, Level 2, Westmead Hospital, Westmead, NSW 2145, Australia. Email:


Clinical development units (nursing) are clinical units in which nurses systematically and strategically develop client-focused care and reflective and research-based practice. In addition, they are units typified by permissive and participatory governance and the recognition of the rights of all staff, irrespective of qualifications or experience, to continuing professional development. Clinical development units (nursing) (CDU(N)s), therefore, should be ‘learning’ units which provide rich opportunities to develop the transformational leadership skills of all nurses who work in them. As such, they provide important potential resources in terms of nursing's disciplinary and professional development. Western Sydney Area Health Service (WSAHS), in recognition of the important potential of CDU(N)s, sponsored the establishment of a network of nine CDU(N)s in 1997–1998. This will increase by a further five CDU(N)s in 1999–2000. Issues surrounding the establishment of this network, particularly in terms of unit preparation, the acquisition of adequate ‘expert’ and financial resources and leadership training will be discussed in this paper. In addition, threats to the survival of WSAHS's CDU(N)s will be identified and the strategies implemented by the Area in response to these threats will be outlined.