Transforming Health and Social Care Using Practice Development

Manley, Kim; Wilson, Valerie; Øye, Christine

doi:10.1002/9781119698463.ch1

Cited by 7 publications

(8 citation statements)

References 25 publications

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“…This aligns with a practice development approach, which centres on getting evidence into practice and developing effective personcentred cultures 22 . Facilitation has been described as being fundamental to the practice development approach 40 and a key factor in ensuring successful implementation of research findings into practice 41,42 . The concept of facilitation is frequently viewed in the literature as a process of providing support to enable change to occur 43 .…”

Section: Discussionmentioning

confidence: 99%

Coproducing and Implementing Person-Centered Key Performance Indicators in Ambulatory Cancer Nursing

Lynch

McCance

2022

Cancer Nurs

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BackgroundPolicy advocates person-centered healthcare for people living with cancer. Although nurses and patients alike recognize that a good care experience cannot be measured solely by clinical outcomes, the difficulty in finding indicators that measure the delivery of effective person-centered care remains a challenge.ObjectiveThe aim of this study was to explore the impact of a coproduced implementation project using the person-centered nursing key performance indicators to support the development of person-centered practice across ambulatory chemotherapy units.MethodsThe study adopted an evaluation approach derived from work of the Medical Research Council. A mobile app was used to collect and analyze 3 cycles of data using 4 measurement tools, with the aim of informing quality improvement activities. Six implementation teams were recruited from chemotherapy units across a region in the United Kingdom. Qualitative interviews were used to evaluate the experience of participants.ResultsData analysis revealed 4 themes: building relationships that nurture the care experience, inspiring nursing staff to flourish, shaping practice and service changes through the nature of the conversations, and becoming person-centered through coproduction.ConclusionThis study provides evidence of the value of implementing these person-centered key performance indicators using a model of coproduction in cancer nursing. The data generated by the key performance indicators offer valuable feedback to nurses that can inform the development of person-centered practice and contribute to an enhanced patient experience.Implications for PracticeThis study provides an innovative and transferable approach for implementing relevant and appropriate key performance indicators within cancer nursing, which can contribute to developing person-centered cultures.

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Section: Discussionmentioning

confidence: 99%

Coproducing and Implementing Person-Centered Key Performance Indicators in Ambulatory Cancer Nursing

Lynch

McCance

2022

Cancer Nurs

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“…While the KPC and broader nursing team articulated a values-based model of practice that placed the child and family in the centre, rules-based pain management worked against this. This disconnect between values and practice was the product of a workplace culture where nurses were not encouraged to challenge or question their practice, accepting taken-for-granted practices rather than evaluating their effectiveness [ 29 ].…”

Section: Findings and Discussionmentioning

confidence: 99%

Building effective engagement for implementation with i-PARIHS: a collaborative enquiry into paediatric pain care in the emergency department

Williams

Keogh

Herd

et al. 2022

BMC Health Serv Res

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Background Pain is a central and distressing experience for children in the emergency department (ED). Despite the harmful effects of pain, ED care often falls short of providing timely and effective pain relief. Knowledge translation research targeting systems of care holds potential to transform paediatric pain care. This article reports on the first stages of an implementation project aimed at embedding effective and sustainable practice change in an Australian children’s hospital ED. Methods The integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework underpinned a cooperative process of engagement to establish a practitioner-led, interprofessional research collaborative. The Kids Pain Collaborative (KPC) aimed to co-design innovation in paediatric ED pain care, facilitating an extensive reconnaissance of research evidence, clinician and family experiences, and local evaluation data. This critical appraisal of the context and culture of pain management generated foci for innovation and facilitation of implementation action cycles. Results Engaging in a complex process of facilitated critical reflection, the KPC unpacked deeply embedded assumptions and organisational practices for pain care that worked against what they wanted to achieve as a team. A culture of rules-based pain management and command and control leadership produced self-defeating practices and ultimately breakdowns in pain care. By raising a critical awareness of context, and building consensus on the evidence for change, the KPC has established a whole of ED shared vision for prioritising pain care. Conclusions In-depth key stakeholder collaboration and appraisal of context is the first step in innovation of practice change. The KPC provided a space for collaborative enquiry where ED clinicians and researchers could develop context-specific innovation and implementation strategy. We provide an example of the prospective application of i-PARIHS in transforming ED pain care, using a collaborative and participatory approach that has successfully enabled high levels of departmental engagement, motivation and ownership of KPC implementation as the facilitation journey unfolds.

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“…The programme has enabled participants to engage in collective leadership that embraces collective capability and endeavour when acting and learning together to shape the culture (NHS Improvement, 2019a; Sharp, 2018; West et al , 2014). This is illustrated in Table 2 where the consequences of collective leadership are identified as effective high performing teams with shared ownership, delivering on their aims and objectives and demonstrating an ongoing commitment to productivity, innovation and adaptability (Manley et al , 2021; Cardiff et al , 2020).…”

Section: Discussionmentioning

confidence: 99%

Change starts with me: an impact evaluation of a multiprofessional leadership programme to support primary care networks in the South East of England

Jackson

Manley

Vibhuti

2021

LHS

Self Cite

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PurposeThis paper aims to present the impact evaluation findings from a multiprofessional leadership programme commissioned in the South East of England to support primary care networks (PCNs) to lead system improvement together. It identifies programme impact at micro and meso system levels; a leadership impact continuum that can be used by individuals and teams to evidence impact of improvements in PCN practices; the learning and development strategies that were effective and proposes implications for other networks. Design/methodology/approachMixed methods underpinned by practice development methodology were used to explore the impact of the programme on two practitioner cohorts across 16 PCNs. Data were collected at the start, mid-point and end of the eight-month programme. FindingsResults illustrate an innovative approach to collective leadership development. A continuum of impact created with participants offers insight into the journey of transformation, recognising that “change starts with me”. The impact framework identifies enablers, attributes and consequences for measuring and leading change at micro, meso and macro levels of the health-care system. Participants learned how to facilitate change and collaboratively solve problems through peer consulting which created a safe space for individuals to discuss workplace issues and receive multiprofessional views through action learning. These activities enabled teams to present innovative projects to commissioners for service redesign, enabling their PCN to be more effective in meeting population health needs. The authors believe that this programme may provide a model for other PCNs England and other place-based care systems internationally. Originality/valueThis study offers insight into how to enable a journey of transformation for individuals and PCN teams to enhance team effectiveness and collective leadership for system-wide transformation required by the National Health Service Long Term Plan (2019). Contribution to Impact

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Transforming Health and Social Care Using Practice Development

Cited by 7 publications

References 25 publications

Coproducing and Implementing Person-Centered Key Performance Indicators in Ambulatory Cancer Nursing

Coproducing and Implementing Person-Centered Key Performance Indicators in Ambulatory Cancer Nursing

Building effective engagement for implementation with i-PARIHS: a collaborative enquiry into paediatric pain care in the emergency department

Change starts with me: an impact evaluation of a multiprofessional leadership programme to support primary care networks in the South East of England

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