Person-centred Practice Research Centre. Institute of Nursing & Health Research . Person-centred Practice Research Centre: Work Strands. The Provision Of Care To Older People. Methodology Development. Person-centred Practice Development. Person-centred Practice Development. - PowerPoint PPT Presentation
Person-centred Practice and Older People: Working with Self
Person-centred Practice Research Centre
Institute of Nursing & Health Research 1Person-centred Practice Research Centre: Work Strands
The Provision Of Care To Older PeoplePerson-centred Practice DevelopmentMethodology Development2Person-centred Practice DevelopmentFocuses on implementation studies in collaboration with partner organisations for the purposes of promoting person-centredness in practice Developing and testing methodological approaches in this area
a systematic approach which aims to help practitioners and healthcare teams to look critically at their practice and identify how it can be improved. Its purpose is to develop effective workplace cultures that have embedded within them person centred processes, systems and ways of working. Skilled facilitators help frontline staff to get underneath the surface of daily routine, to critically reflect on the values and beliefs they hold about patient care. Teams are challenged to consider if the behaviours, systems and processes used in practice are consistent with person centred values and what needs to be changed. Develops evidence from practice, and implements evidence into practice. Achieves sustainable change through its focus on continuous learning in practice. What is Practice Development?4PD is micro-system oriented and context specific.PD works with individuals and teams to:engage with a shared visioncreate links with their own aspirationstranslate complex organisational and strategic agendas into practice realitymake sense of complex forms of evidencebecome clear about what constitutes person centred care. move the energy that would otherwise have been expended in conflictual agendas and resistance towards shared agendas. facilitate the system as a whole to re-engage with the untapped potential lying within the healthcare workforce and their patients. 5Practice DevelopmentValues & BeliefsTransforming culture and context of carePERSON CENTERED CARELearning in and from practiceSystematic and rigorous(Garbett & McCormack, 2003)
Person-centred Nursing Framework(McCormack & McCance 2010) 7CARE PROCESSESDelivering care through a range of activities
CARE ENVIRONMENTThe context in which care is delivered PREREQUISITES Attributes of the nurseOUTCOMES Results of effective person-centred nursingThe PCN Framework8In summary, the four constructs within the Framework include:
Prerequisites focus on the attributes of the nursesThe care environment focuses on the context in which care is deliveredPerson-centred processes focus on delivering care through a range of activitiesOutcomes, the central component of the framework, are the results of effective person-centred nursing.
It is useful to highlight the relationship between the constructs, which works from the outside in. Attributes of the nurse need to be in place in order to effectively manage the care environment, which enables the delivery of person-centred processes , which should then lead to positive outcomes.
Elements of the Framework have been illustrated in the 10 stories presented.
Using a different lens to learn from practice?
9Use of the framework in practiceTo promote an understanding of person-centred care To analyse barriers to changeAs an aid for reflection To focus the implementation and evaluation of developments in practiceTo inform strategy10Person-centredness and PD Developing person-centredness is at the heart of practice development and despite much policy and strategic rhetoric, practice development continues to be the only methodology that has the development of person-centredness as its primary purpose and which recognises that person-centredness is not developed through one-off change events. Instead, it needs continuous reflective and critical relationships to be developed and sustained over time.(McCormack 2008, p.161)11
Recommendations from the Francis ReportThe NHS and all who work for it must adopt and demonstrate a shared culture in which the patient is the priority in everything done. This requires:A common set of core values and standards shared throughout the system;Leadership at all levels from ward to the top of the Department of Health, committed to and capable ofinvolving all staff with those values and standards;A system which recognises and applies the values of transparency, honesty and candour;Freely available, useful, reliable and full information on attainment of the values and standards;A tool or methodology such as a cultural barometer to measure the cultural health of all parts of the system.Project ExamplesPaediatric International Nursing Study (PINS) - embedding Key Performance Indicators into Paediatric Practice Rose Kelly, Manager, Acute Paediatrics & Neonatology, SET
Developing Person-centred Cultures in BHSCTTanya McCance and Participants from the Belfast Trust Person-centred Practice Programme 'Caring for the carers - working in partnership to achieve person centred care'.
Annemarie Tunney, NHSCTPerson Centred Practice in Emergency Care what are the challenges? Donna McConnell and Vidar Melby.