Magical History Tour of PD 1980s Nursing Development Unit Burford Oxford 1990s PD Units PD hospital roles Evidence based practice PARIHS framework 2000s Concept analysis PD methods ID: 581897
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Slide1
An Introduction to Practice DevelopmentSlide2
Magical History Tour of PD
1980s
Nursing Development Unit
Burford
, Oxford
1990s
PD Units
PD hospital roles
Evidence based
practice
PARIHS framework
2000sConcept analysisPD methods International development
2010s
Continued conceptual
development Increased international activitySlide3
The Pleasures of Knitting
Research into practice
Evidence-based practice
Service/practice/ quality
improvementExperience based design
Practice developmentSlide4Slide5
Promoting Action on Research Implementation in Health Services (PARIHS) FrameworkSlide6
Evidence (research, clinical experience and patient experience) is well conceived, designed and executed and there is consensus about
it
The
context in which the evidence is being implemented is characterised by clarity of roles, decentralised decision making, transformational leadership and a reliance on multiple sources of information on
performance
Facilitation mechanisms appropriate to the needs of the situation have been instigated
Rycroft-Malone et al. (2002)Strong ElementsSlide7
“… the transformation of practice understands that changing practices is not just a matter of changing the ideas of individual practitioners alone, but also discovering, analysing and transforming the social, cultural, discursive and material conditions under which their practice occurs …” (
Kemmis
, 2005)Slide8
Critical Social Theory
In the context of health and social care practice,
critical social theory
is about:explaining and understanding the ways in which care is practiced and
experiencedhelping us to critique why we do what we
doexploring the barriers and the power issues that prevent us from providing person-centred carehelping us to see what is possible and enabling us to do things differentlySlide9
Definition of Practice Development
A continuous journey of developing and innovating in care settings, so that patients, residents, families and the team engage with each other in person-centred ways.
This engagement is brought about by teams developing their knowledge and skills and changing the culture and organisation of care.
It is helped by the team working with systematic and continuous processes of development and evaluation that involve and include the views, experiences and needs of
patients, residents,
families, the team and others.
Adapted from Garbett and McCormack (2002) by Dewing, McCormack and Titchen (2014)Slide10
Shared values and beliefs
Changing individuals and settings
Person-
centred
cultures
Learning together
Being real
Practice Development
Adapted from
Garbett
and
McCormack (2002) by Dewing, McCormack and Titchen (2014)Slide11
Service Improvement or Practice Development: A ContinuumSlide12
Commitment and Values Underpinning Practice Development
Person-centred care
Collaboration and partnership
Enabling facilitation and supportActive learning and developmentTransforming workplace culture EvaluationSlide13
Time
for
questions and reflection