An Introduction to Practice Development

Magical History Tour of PD

1980sNursing Development Unit

Burford, Oxford

1990sPD Units

PD hospital rolesEvidence based practice

PARIHS framework

2000sConcept analysis

PD methods International development

2010sContinued conceptual

development Increased international activity

The Pleasures of Knitting

• Research into practice

• Evidence-based practice

• Service/practice/ quality improvement• Experience based

design• Practice

development

FacilitationPurpose

RoleSkills and attributes

EvidenceResearch

Clinical experiencePatient experience

ContextCulture

Leadership Evaluation

Promoting Action on Research Implementation in Health Services (PARIHS) Framework

Evidence (research, clinical experience and patient experience) is well conceived, designed and executed and there is consensus about it

The context in which the evidence is being implemented is characterised by clarity of roles, decentralised decision making, transformational leadership and a reliance on multiple sources of information on performance

Facilitation mechanisms appropriate to the needs of the situation have been instigated Rycroft-Malone et al. (2002)

Strong Elements

“… the transformation of practice understands that changing practices is not just a matter of changing the ideas of individual practitioners alone, but also discovering, analysing and transforming the social, cultural, discursive and material conditions under which their practice occurs …” (Kemmis, 2005)

Critical Social Theory

In the context of health and social care practice, critical social theory is about:• explaining and understanding the ways in which

care is practiced and experienced• helping us to critique why we do what we do• exploring the barriers and the power issues that

prevent us from providing person-centred care• helping us to see what is possible and enabling

us to do things differently

Definition of Practice DevelopmentA continuous journey of developing and innovating in care settings, so that patients, residents, families and the team engage with each other in person-centred ways.

This engagement is brought about by teams developing their knowledge and skills and changing the culture and organisation of care.

It is helped by the team working with systematic and continuous processes of development and evaluation that involve and include the views, experiences and needs of patients, residents, families, the team and others.

Adapted from Garbett and McCormack (2002) by Dewing, McCormack and Titchen (2014)

Person-centred cultures

Lear

ning toge

ther Being real

Practice Development

Adapted from Garbett and McCormack (2002) by Dewing, McCormack and Titchen (2014)

Service Improvement or Practice Development: A Continuum

Commitment and Values Underpinning Practice Development

• Person-centred care• Collaboration and partnership • Enabling facilitation and support• Active learning and development• Transforming workplace culture • Evaluation

Time for questions and

reflection