1. Welcome to Workshop 3
The Foundation of Nursing Studies (FoNS) in Partnership with the Burdett Trust for Nursing Patients First: Supporting Nurse-led Innovation in Practice

2. Overview of Workshop 3
Today we will explore how the following processes can inform improvements in practice:
Enabling the participation of service users
Reflection
Facilitation
Evaluation

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

4. Enabling Participation
Aims of the session:
To explore the ways in which service users are participating in projects
Consider the different levels of participation
Benefits/challenges
Descriptors
Share experiences/ideas about participation
Consider the ways in which participation could be enhanced

5. Model of Participation
One-way information – service users know the results of the project 
Consultation - service users are asked about pre-determined issues
Discussion about project - service users are involved in the design of the project and some of the key issues it covers
Doing some of the project - service users carry out parts of the evaluation or data collection
Doing most of the project - service users are involved in most parts of the project
Doing the project together - service users are jointly responsible for the project
(Adapted from a Charities Evaluation Service Model)

6. Learning in Practice Development
Developing people and practice is an intentional purpose of practice development
Practice development integrates work-based learning with its focus on active learning and formal systems for enabling learning in the workplace to transform care (Manley, K., McCormack, B. and Wilson, V., 2008)
Learning is not just focussed on personal and/or professional development as this may or may not impact on practice
Learning is directly targeted at practice (patients, their needs and their care), hence the focus on WBL and active learning

7. Reflection in Practice Development
Reflection is a key activity in practice development
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

8. Reflection
‘…using the reflective process to look systematically and rigorously at our own practice. We all reflect on our practice to some extent, but how often do we employ those reflections to learn from our own actions, to challenge established theory and, most importantly, to make a real difference to our practice.’
Rolfe et al. (2001, pxi)

9. Evaluation in PD Evaluation:
Is a systematic way of practitioners learning from a collection of evidence they analyse
Is part of the on-going process of practice development (rather than something that is just considered at the end)
Is based on a belief that approaches which focus on people and practices and encourage stakeholder participation are more effective in achieving sustainable healthcare service improvements
Uses multiple forms of evidence to gain the perspectives of all stakeholders

10. PRAXIS Evaluation Praxis evaluation:
Is offered as a collaborative process for evaluating practice change and workplace culture
Reflects six core components of effective evaluation: purpose, reflexivity, approaches, context, intent, stakeholders
Praxis evaluation takes into consideration:
The evaluation process
The experience of being engaged in that process
Ways in which the outcomes that will improve and impact on how healthcare is experienced can be captured

11. PRAXIS Evaluation Purpose – Have a clear purpose (aims and objectives)
Reflexivity – Answer critical questions about the way we work and should encourage critical dialogue within the workplace
Approaches – Use the best approaches considering how they fit with the context of the purpose (make use of the right tools for the job!)
ConteXt - Appreciate and reflect on how the culture and context can impact/influence the work being done and the outcome of this
Intent - Use clear, transparent, tried and tested methodology and be committed to doing more than scratching the surface
Stakeholders - Involve all relevant stakeholders

12. Facilitation
Facilitation is one of the most important features of practice development work  
The way in which improvement/development work is facilitated can have a significant impact on the successful implementation of evidence into practice, cultural change, sustainability of improvements/developments

13. A Picture of Facilitation
Create a picture/collage/installation that reflects your purpose and role as a facilitator in your project?
What are you trying to achieve and how?

14. 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

15. Next steps…

16. Thank you for participating Have a safe journey