Transcript Practice Development Work Strand

Person-centred Practice
Research Centre
Institute of Nursing & Health
Research
Person-centred Practice Research Centre: Work Strands
The Provision Of Care
To Older People
Person-centred
Practice
Development
Methodology
Development
Person-centred Practice Development
 Focuses on implementation studies in collaboration
with partner organisations for the purposes of
promoting person-centredness in practice
 Developing and testing methodological approaches
in this area
What is Practice Development?
 a systematic approach which aims to help practitioners and healthcare teams
to look critically at their practice and identify how it can be improved.
 Its purpose is to develop effective workplace cultures that have embedded
within them person centred processes, systems and ways of working.
 Skilled facilitators help frontline staff to get underneath the surface of daily
routine, to critically reflect on the values and beliefs they hold about patient
care.
 Teams are challenged to consider if the behaviours, systems and processes
used in practice are consistent with person centred values and what needs to
be changed.
 Develops evidence from practice, and implements evidence into practice.
 Achieves sustainable change through its focus on continuous learning in
practice.
 PD is ‘micro-system’ oriented and context specific.
 PD works with individuals and teams to:
• engage with a shared vision
• create links with their own aspirations
• translate complex organisational and strategic agendas into practice
reality
• make sense of complex forms of evidence
• become clear about what constitutes person centred care.
• move the energy that would otherwise have been expended in
conflictual agendas and resistance towards shared agendas.
• facilitate the system as a whole to re-engage with the untapped
potential lying within the healthcare workforce and their patients.
Practice Development
(Garbett & McCormack, 2003)
Person-centred Nursing Framework
(McCormack & McCance 2010)
The PCN Framework
CARE
ENVIRONMENT
The context in which
care is delivered
CARE PROCESSES
Delivering care through a
range of activities
PREREQUISITES
Attributes of the
nurse
OUTCOMES
Results of effective
person-centred nursing
Using a different lens to learn
from practice?
Use of the framework in practice
 To promote an understanding of personcentred care
 To analyse barriers to change
 As an aid for reflection
 To focus the implementation and evaluation of
developments in practice
 To inform strategy
Person-centredness and PD
“Developing person-centredness is at the heart of practice
development and despite much policy and strategic rhetoric,
practice development continues to be the only methodology
that has the development of person-centredness as its
primary purpose and which recognises that personcentredness is not developed through one-off change events.
Instead, it needs continuous reflective and critical
relationships to be developed and sustained over time.”
(McCormack 2008, p.161)
Recommendations from the Francis Report
 The NHS and all who work for it must adopt and demonstrate a shared
culture in which the patient is the priority in everything done. This requires:
 A common set of core values and standards shared throughout the
system;
 Leadership at all levels from ward to the top of the Department of
Health, committed to and capable of
 involving all staff with those values and standards;
 A system which recognises and applies the values of transparency,
honesty and candour;
 Freely available, useful, reliable and full information on attainment of
the values and standards;
 A tool or methodology such as a cultural barometer to measure the
cultural health of all parts of the system.
Project Examples
‘Paediatric International Nursing Study
(PINS) - embedding Key Performance
Indicators into Paediatric Practice’
Rose Kelly, Manager, Acute
Paediatrics & Neonatology, SET
‘Developing Person-centred Cultures in
BHSCT’
Tanya McCance and Participants
from the Belfast Trust Personcentred Practice Programme
'Caring for the carers - working in
partnership to achieve person centred care'.
Annemarie Tunney, NHSCT
Person Centred Practice in Emergency Care Donna McConnell and Vidar
– what are the challenges?
Melby.