Workshop 1

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

Patients First FoNS in partnership with the Burdett Trust for Nursing is offering expert support and facilitation to nurse-led teams over a 18 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 Workshops 1 & 2 Values and beliefs Facilitation Culture and context Evaluation Reflection - learning in and from practice Action planning

Further Workshop Days 2015 Day 3- Thursday 5th March Day 4-Thursday 21st May Day 5-Thursday 17th September Plus a celebration event spring 2016

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

“Our Journey on the Patients First Programme”

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

Improving patient-person centred care Learning in and from practice Systematic approaches Practice Development Model

What does success look like? What are expected outcomes? What stakeholders need to be included? How do we develop evaluation questions that tie in with outcomes? What are the key indicators to be measured? (processes and outcomes) What methods will generate the evidence? Learning Opportunities Collaboration, Inclusion and Participation

Developing an evaluation strategy Who are your stakeholders? What does success look like from the perspective of all stakeholders? How do you know that is what success looks like for them? How will we measure success? What questions do you need to ask? What evidence do you need to collect that will enable you to demonstrate whether you have been successful from the perspective of all stakeholders? What opportunities are there to enable collaboration and participation of stakeholders in data collection and analysis to enable learning?

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? “ The way things are done around here” Drennan (1992) “Patterns, Rituals and Habits”

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

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 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

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

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 in March, May, Sept 2015 and May/June 2016 Other needs and/or suggestions

Thank you for participating Have a safe journey