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Professor Kenneth Walsh (UOW) Associate Professor Cheryle Moss (Monash) Without an Understanding of Purpose and Context, Data is Blind: The Development.

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Presentation on theme: "Professor Kenneth Walsh (UOW) Associate Professor Cheryle Moss (Monash) Without an Understanding of Purpose and Context, Data is Blind: The Development."— Presentation transcript:

1 Professor Kenneth Walsh (UOW) Associate Professor Cheryle Moss (Monash) Without an Understanding of Purpose and Context, Data is Blind: The Development of a Model of Care Toolkit.

2 Evidence and Practice Change Knowing what to do is not enough to bring about practice change. Change is a social process and as such is complex The formula for getting evidence into practice SI=f(E, C,F) Kitson, et al 1998 Practice is often invisible to those involved in it The importance of context

3 Principles “A person is more likely to integrate and accept that which is reached by his or her own reasoning processes” “I learn what I believe when I hear myself talk” (Miller, 1983: 120)

4 ‘CCR’ Framework for articulating your Model of Care

5 Element 1: Name, Purpose & Description of Service This element is a key to understanding the context of your model of care CONTEXTCONTEXT How would you describe the context of your service?

6 Element 2: Consumers Who are our consumers? =CONTEXT=CONTEXT What key aspects of the patient journey do we work with? Key markers & transitions from meet & greet to discharge from the service

7 Element 3: Governance Governance here is in the sense of orchestrating & achieving the overall co-ordination of care CARECARE Some questions…In your MOC...  Who is involved? Health professionals? others?  What does each do?  How does the MDT team manage the care & patient journey?

8 Element 4: Need for care & Intervention Care plans Clinical pathways Care protocols CARECARE Specific disciplinary inputs

9 Element 5: Transparency for Patients & Families Signalling who is involved in the care, features of the context Signalling key markers of progress Features of care - Negotiating goals & management plan Checking satisfactions & perceptions - in process (not as outcomes) CARECARE

10 Element 6: Evaluation Key outcome measures  Clinical  Team  Service  Other REVIEWREVIEW Some questions… In your MOC...  Why would outcomes in each of these areas be important?  What would constitute key outcomes in each of these areas?  How would you measure or evaluate these?

11 Element 7: Reform Local & National Organisational strategic maps Health care gaps Health policies National & International Modernisation Evidence REVIEWREVIEW When & how would you /do you incorporate these into your MOC?

12 References Binnie, A. & Titchen, A. (1999) Freedom to Practise: The Development of Patient-Centred Nursing, Oxford: Butterworth-Heinemann. Harvey, G., Loftus-Hills, A., Rycroft-Malone, J., Titchen, A., Kitson, A., McCormack, B. & Seers, K. (2002) Getting evidence into practice: The role and function of facilitation, Journal of Advanced Nursing, 37 (6), pp.577-588. Hughes, F; Duke, J; Bamford, A; & Moss, C (2006). ‘Enhancing Nursing Leadership through Policy, Politics & Strategic Alliances’. Nurse Leader. 4(2) 24-27 Kitson A, Harvey G, McCormack B (1998). ‘Enabling the implementation of evidenced based practice: A conceptual framework.’ Quality in Health Care 7(3): 149–58. Lawless, J & Moss, C (2007). ‘Exploring the Value of Dignity in the Work-life of Nurses’. Contemporary Nurse. 24(2) 225-236. Manley, K. & McCormack, B. (2003) Practice development: Purpose, methodology, facilitation and evaluation, Nursing in Critical Care, 8 (1), pp. 22-29. Manley, K. (1999) Developing a culture for empowerment, Nursing in Critical Care, 4 (2), pp. 57-58. McCormack B., Manley, K. & Garbett, R. (2004) Practice Development in Nursing, Oxford: Blackwell Miller W. Motivational interviewing with problem drinkers, Behavioural Psychotherapy. 1983; 11 (2), 147 –172.

13 MacLeod, R., Vella-Brincat, J., & Macleod, A. (2004). The palliative care handbook, incorporating the Nurse Maude palliative care formulary: Guidelines for clinical management and symptom control. (2nd ed.): Genesis Oncology Trust. Rycroft-Malone J., Harvey G., Seers K., Kitson A., McCormack B. & Titchen, A. (2004) An exploration of the factors that influence the implementation of evidence into practice, Journal of Clinical Nursing 13 (8), pp.913-924. Therapeutic Guidelines Ltd. (2001). Therapeutic guidelines: Palliative care. (Version 1) Melbourne: Author. Walsh, K & Moss, C (2007). ‘Practice Development in New Zealand: Reflections on the Influence of Culture and Context’. Practice Development in Health Care. 6(1) 82-85. Walsh, K & Moss, C (2007) ‘Transitions in Mental Health (Chapter 9)’. In McAllister, M (Ed.), (2006). Solution Focused Nursing: Rethinking Practice. Palgrave Macmillan. Walsh, K; Moss, C & FitzGerald, M (2006). ‘Solution Focused Approaches and their Relevance to Practice Development’. Practice Development in Health Care. 5(3) 145-155. Walsh, K; Lawless, J; Moss, C & Allbon, C. (2005). ‘The Development of an Engagement Tool for Practice Development’. Practice Development in Health Care. 4(3) 124-130. Ward, C. & McCormack, B. (2000) Creating an adult learning culture through practice development, Nurse Education Today, 20 (4), pp.259-266.

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