Workshop 1 and 2 Powerpoint
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Transcript Workshop 1 and 2 Powerpoint
Workshop 1
Patients First
Hopes, fears and
expectations
Poster viewing
Confidence line
Time capsule
“Our Journey on the Patients First
Programme”
Patients First
FoNS 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 beliefs
Facilitation
Culture and context
Evaluation
Reflection - learning in and from
practice
Action planning
Further Workshop Days 2013
Day 3- Thursday 7th March
Day 4-Thursday 16th May
Day 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)
Practice Development Model
Improving
patient-person
centred care
Project 1
Small project team
Commitment to
improving patient care
Strong evidence base
New role development
and training
Complex context
Introducing a ward
based exercise
programme for
older people across
three in-patient
care areas
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
mealtimes for older
people in a ward for
older people in an
acute trust
Commitment and Values
underpinning Practice
Development
Person-centred care
Collaboration and partnership
Enabling facilitation and support
Active learning and development
Transforming 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 & Innovation
Practice Development
…it is a methodology underpinned
by the key values of personcentredness, 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
Service Improvement
…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 Beliefs
Values 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 explicit
Developing a shared vision and purpose
Helping us to recognise the gaps between what
we say we believe/we do and what we actually do
Evaluation
Evaluation is:
A judgement of value/worth
Happens 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 works
Why it works
For who it works
Under what circumstances it works
What 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 First
Welcome to Workshop 2
Any 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 change
The context will be influenced by
the culture
Reflection in Practice Development
Reflection 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 person
Knowing self as person/professional role/carer
Knowing own and others limitations
Knowing the environment
McCormack & McCance , 2010;
McCormack & McCance 2006;
McCormack 2004
Situational Facilitation
Encouraging style
Sharing
Reinforcing
Encouraging
Praising
Coaching style
Involving
Explaining
Collaborating
Negotiating
Supporting style
Turning or mulling over
Leaving alone
Letting go
Being available
Directing style
Initiating
Structuring
Telling
Guiding
Hersey and Blanchard, 1996
Action Planning
Making plans to take action
Using a framework to check you progress
What will you being doing tomorrow?
Ongoing Support
On-going support from Jo
Centre for Innovation- Info for website
Maintaining networking and communication
Future workshops , March, May, Oct 2012
Other needs and/or suggestions
Thank you for participating
Have a safe journey
Doodle evaluation/Postcard
www.fons.org