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

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Presentation on theme: "Foundation of Nursing Studies in partnership with the Burdett Trust for Nursing Patients First: Supporting nurse led innovation in practice Workshop 1."— Presentation transcript:

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

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