1. Person-centred Practice Research Centre
Institute of Nursing & Health Research

2. Person-centred Practice Research Centre: Work Strands
The Provision Of Care To Older People
Methodology Development
Person-centred Practice Development

3. 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

4. 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.

5. 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.

6. Transforming culture and context of care
Practice Development
Values & Beliefs
Transforming culture and context of care
PERSON CENTERED
CARE
Systematic
and rigorous
Learning in
and from
practice
(Garbett & McCormack, 2003)

7. Person-centred Nursing Framework
(McCormack & McCance 2010)

8. The PCN Framework CARE ENVIRONMENT
The context in which care is delivered
PREREQUISITES Attributes of the nurse
In summary, the four constructs within the Framework include:
Prerequisites focus on the attributes of the nurses
The care environment focuses on the context in which care is delivered
Person-centred processes focus on delivering care through a range of activities
Outcomes, the central component of the framework, are the results of effective person-centred nursing.
It is useful to highlight the relationship between the constructs, which works from the outside in. Attributes of the nurse need to be in place in order to effectively manage the care environment, which enables the delivery of person-centred processes , which should then lead to positive outcomes.
Elements of the Framework have been illustrated in the 10 stories presented.
CARE PROCESSES
Delivering care through a range of activities
OUTCOMES
Results of effective person-centred nursing

9. Using a different lens to learn from practice?

10. Use of the framework in practice
To promote an understanding of person-centred care
To analyse barriers to change
As an aid for reflection
To focus the implementation and evaluation of developments in practice
To inform strategy

11. 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 person-centredness 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)

13. 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.

14. 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 Person-centred Practice Programme
'Caring for the carers - working in partnership to achieve person centred care'.
Annemarie Tunney, NHSCT
Person Centred Practice in Emergency Care – what are the challenges?
Donna McConnell and Vidar Melby.