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 practiceWorkshop 1
2 Patients First Hopes, fears and expectations Poster viewing Confidence lineTime capsule
3 Sharon Fleming Royal Brompton Hospital “Our Journey on the Patients First Programme”
4 Patients FirstFoNS 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 practiceIdentify areas of patient care which can be improvedDevelop a proposal for a locally focused practice development project/initiativeEnable the implementation of a strategy for developing, changing and evaluating practice
5 Overview of Workshop 1 & 2Values and beliefsFacilitationCulture and contextEvaluationReflection - learning in and from practiceAction planning
6 Further Workshop Days 2013 Day 3- Thursday 7th March Day 4-Thursday 16th MayDay 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 careImprovingpatient-personcentred careLearning inand frompracticeSystematicapproachesValues and beliefs
9 Introducing a ward based exercise programme for older people across three in-patient care areas Project 1Small project teamCommitment to improving patient careStrong evidence baseNew role development and trainingComplex context
10 Project 2Ward based team with two lead facilitatorsInvolvement of all ward staffWide evidence based including patient experienceFocus on learning in and through practiceComplex contextImproving mealtimes for older people in a ward for older people in an acute trust
11 Commitment and Values underpinning Practice Development Person-centred careCollaboration and partnershipEnabling facilitation and supportActive learning and developmentTransforming workplace cultureEvaluationShaw (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 DevelopmentService 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 BeliefsValues and beliefs affect our attitudes and behavioursValues and beliefs are often implicitWe can assume that we share the same values and beliefs
15 Values Clarification Values clarification is a way of: Making our values and beliefs explicitDeveloping a shared vision and purposeHelping 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 practiceIn the context of practice development:A clear evaluation plan is central to being systematicEvaluation 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 worksWhy it worksFor who it worksUnder what circumstances it worksWhat has been learnt to make it workRedfern,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 influencepractice 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 providedThe context may changeThe 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 practiceLearning in practice development arises from self knowledge and awareness through structured and intentional reflectionCritical analysis and reflection acts as a motivator for action
24 Facilitating Person Centred Care Knowing the personKnowing self as person/professional role/carerKnowing own and others limitationsKnowing the environmentMcCormack & McCance , 2010;McCormack & McCance 2006;McCormack 2004
25 Situational Facilitation Encouraging styleSharingReinforcingEncouragingPraisingSupporting styleTurning or mulling overLeaving aloneLetting goBeing availableCoaching styleInvolvingExplainingCollaboratingNegotiatingDirecting styleInitiatingStructuringTellingGuidingHersey and Blanchard, 1996
26 Action Planning Making plans to take action Using a framework to check you progressWhat will you being doing tomorrow?
27 Ongoing Support On-going support from Jo Centre for Innovation- Info for websiteMaintaining networking and communicationFuture workshops , March, May, Oct 2012Other needs and/or suggestions
28 Thank you for participating Have a safe journeyDoodle evaluation/Postcard