Foundation of Nursing Studies in partnership with the Burdett Trust for Nursing

Patients First: Supporting nurse led innovation in practice

Workshop 3

Overview of Workshop 3Today we will explore how the followingprocesses can inform improvements in

practice:

Enabling the participation of staff and service users

FacilitationEvaluationAction planning for the next steps

Improving patient-person

centred care

Learn

ing in

and fr

om

practice

Systematic

approaches

Practice Development Model

World CafeParticipation Involvement Engagement

DefinitionsParticipation- share or take part

Involvement-cause a person to participate or share

Engagement-the act or state of engaging or being engaged

Oxford Dictionary

Model of ParticipationDoing the project together - service users

are jointly responsible for the projectDoing most of the project - service users

are involved in most parts of the project Doing some of the project - service users

carry out parts of the evaluation or data collection

Discussion about project - service users are involved in the design of the project and some of the key issues it covers

Consultation - service users are asked about pre-determined issues

One-way information – service users know the results of the project 

(Adapted from a Charities Evaluation Service Model)

The London Bus Tour Guide

What is the role of the tour guide?

What are the duties and responsibilities of the tour guide?

What are the characteristics, skills, knowledge and behaviours that are needed?

Encouraging styleSharingReinforcingEncouragingPraising

Supporting styleTurning or mulling

overLeaving aloneLetting goBeing available

Coaching styleInvolvingExplainingCollaboratingNegotiating

Directing styleInitiatingStructuringTellingGuiding

Situational Facilitation

Hersey and Blanchard, 1996

Creators 24%

Critics 37%

Collectors 21%

Joiners 51%

Spectators 73%

Inactive

Forrester (2009) 6 overlapping groups of people from a social media perspective

What’s going to help you participate?

Individual-high risk

Group- medium risk

Unit of larger- Low risk

Evaluation Whether it worksWhy it worksFor whom it worksUnder what circumstances it worksWhat has been learnt to make it work

McCormack ,Manley and Garbett (2004)

EvaluationOutcome

or

Process

Improving patient-person

centred care

Learn

ing in

and fr

om

practice

Systematic

approaches

Practice Development Model

Next Steps…

Thank you for participating

Have a safe journey

www.fons.org

World CafeParticipation. What does this look like and feel like for you?

World CafeInvolvement.What does this look like and feel like for you?

World CafeEngagement.What does this look like and feel like for you?