Workshop 1
Patients FirstHopes, fears and
expectationsPoster viewing Confidence lineTime capsule
“Our Journey on the Patients First Programme”
Patients FirstFoNS in partnership with the Burdett Trust for Nursing is offering expert support and facilitation to nurse-led teams over a 12-15 month period to:
Explore how nursing teams can work with patients and other stakeholders to develop practice
Identify areas of patient care which can be improved
Develop a proposal for a locally focused practice development project/initiative
Enable the implementation of a strategy for developing, changing and evaluating practice
Overview of Workshop 1 & 2
Values and beliefsFacilitationCulture and contextEvaluationReflection - learning in and from practice
Action planning
Further Workshop Days 2013
Day 3- Thursday 7th MarchDay 4-Thursday 16th MayDay 5-Thursday 3rd October
Practice Development - Definition“Practice development is a continuous process of
developing person centred cultures. It is enabled by
facilitators who authentically engage with individuals
and teams to blend personal qualities and creative
imagination with practice skills and practice wisdom.
The learning that occurs brings about transformations
of individual and team practices. This is sustained by
embedding both processes and outcomes in corporate
strategy.”
Manley, McCormack and Wilson (2008)
Improving patient-personcentred care
Learning in
and from
practi
ce
Systematic
approaches
Practice Development Model
Project 1
Small project teamCommitment to improving patient careStrong evidence base New role development and trainingComplex context
Introducing a Introducing a ward based ward based exercise exercise programme for programme for older people older people across three in-across three in-patient care patient care areasareas
Project 2
Ward based team with two lead facilitators
Involvement of all ward staff
Wide evidence based including patient experience
Focus on learning in and through practice
Complex context
Improving Improving mealtimes for mealtimes for older people in a older people in a ward for older ward for older people in an people in an acute trustacute trust
Commitment and Values underpinning Practice
DevelopmentPerson-centred careCollaboration and partnership Enabling facilitation and supportActive learning and developmentTransforming workplace culture Evaluation
Shaw (2012)
Questions…
What other activities are you aware of that support improvement and innovation?
Are they the same or different to Practice Development?
How does Practice Development contribute to innovation and improvement?
Improving Practice & InnovationPractice Development Service Improvement
…it is a methodology underpinned by the key
values of person-centredness, collaboration and partnership, enabling
facilitation, active learning, culture transformation and
evaluation for the development of healthcare practitioners and practice, for the ultimate purpose of achieving patient-centred
care
…it is an activity contributes to the development and
improvement of practice and practitioners but the
methods and processes may not enable the level of
collaboration, inclusion and participation that could lead
to culture change
Values and BeliefsValues and beliefs affect our
attitudes and behaviours
Values and beliefs are often implicit
We can assume that we share the same values and beliefs
Values Clarification
Values clarification is a way of:
Making our values and beliefs explicitDeveloping a shared vision and purposeHelping us to recognise the gaps between what we say we believe/we do and what we actually do
EvaluationEvaluation is:A judgement of value/worthHappens on an informal level in everyday healthcare practice In the context of practice development:A clear evaluation plan is central to being systematic Evaluation is a systematic way of practitioners learning from a collection of evidence they analyse
Evaluation Frameworks
An evaluation framework in practice development should answer the following questions about a programme or intervention:
Whether it worksWhy it worksFor who it worksUnder what circumstances it worksWhat has been learnt to make it work
Redfern,1998; McCormack and Manley, 2004
Review of the Day and Closure
Liked most…?
Liked least…?
One learning point…?
Any areas for clarification…?
Patients FirstWelcome to Workshop 2Any areas for clarification overnight…?
Today's programme
Knowing your Workplace Culture and Context
What does it look like?What does it feel like?What is an effective workplace culture?How can we evaluate it?How does it influence practice change?
What is Culture?
“How things are done around here”
Drennan (1992)
What Do We Mean By Context?
The setting and environment in which care is provided
The context may changeThe context will be influenced by the culture
Reflection in Practice DevelopmentReflection is a key activity in practice
development and enables us to learn from practice
Learning in practice development arises from self knowledge and awareness through structured and intentional reflection
Critical analysis and reflection acts as a motivator for action
Facilitating Person Centred Care
Knowing the personKnowing self as person/professional
role/carerKnowing own and others limitationsKnowing the environment
McCormack & McCance , 2010; McCormack & McCance 2006;
McCormack 2004
Situational FacilitationEncouraging styleSharingReinforcingEncouragingPraising
Supporting styleTurning or mulling
overLeaving aloneLetting goBeing available
Coaching styleInvolvingExplainingCollaboratingNegotiating
Directing styleInitiatingStructuringTellingGuidingHersey and Blanchard, 1996
Action PlanningMaking plans to take action
Using a framework to check you progress
What will you being doing tomorrow?
Ongoing SupportOn-going support from JoCentre for Innovation- Info for websiteMaintaining networking and
communicationFuture workshops , March, May, Oct
2012Other needs and/or suggestions
Thank you for participatingHave a safe journey
Doodle evaluation/Postcard
www.fons.org
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