1. Foundation of Nursing Studies in partnership with the Burdett Trust for Nursing Patients First: Supporting nurse led innovation in practice
Workshop 1

2. Patients First Hopes, fears and expectations Poster viewing
Confidence line
Time capsule

3. Sharon Fleming Royal Brompton Hospital
“Our Journey on the Patients First Programme”

4. Patients First
FoNS in partnership with the Burdett Trust for Nursing is offering expert support and facilitation to nurse-led teams over a 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

5. Overview of Workshop 1 & 2
Values and beliefs
Facilitation
Culture and context
Evaluation
Reflection - learning in and from practice
Action planning

6. Further Workshop Days 2013 Day 3- Thursday 7th March
Day 4-Thursday 16th May
Day 5-Thursday 3rd October

7. 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)

8. Practice Development Model
transforming individuals and contexts of care
Improving
patient-person
centred care
Learning in
and from
practice
Systematic
approaches
Values and beliefs

9. Introducing a ward based exercise programme for older people across three in-patient care areas
Project 1
Small project team
Commitment to improving patient care
Strong evidence base
New role development and training
Complex context

10. 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

11. 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)

12. 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?

13. Improving Practice & Innovation
Practice 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

14. 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

15. 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

16. 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

17. 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

18. Review of the Day and Closure
Liked most…?
Liked least…?
One learning point…?
Any areas for clarification…?

19. Patients First Welcome to Workshop 2
Any areas for clarification overnight…?
Today's programme

20. 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?

21. “How things are done around here”
What is Culture?
“How things are done around here”
Drennan (1992)

22. 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

23. 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

24. 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

25. Situational Facilitation
Encouraging style
Sharing
Reinforcing
Encouraging
Praising
Supporting style
Turning or mulling over
Leaving alone
Letting go
Being available
Coaching style
Involving
Explaining
Collaborating
Negotiating
Directing style
Initiating
Structuring
Telling
Guiding
Hersey and Blanchard, 1996

26. Action Planning Making plans to take action
Using a framework to check you progress
What will you being doing tomorrow?

27. 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

28. Thank you for participating
Have a safe journey
Doodle evaluation/Postcard