The Strategic Framework for Enhancing Practice Development

in NI

Tanya McCanceProfessor of Nursing R&D

University of Ulster

Practice Development is

about developing

people and their practice.

“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)

The 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 of involving 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.

helps to provide care that patients feel is right for themfocuses on implementing practice change in the workplace that is based on evidencehelps to develop practice collaboratively and systemicallycan be used by healthcare providers to improve the patient experience while meeting national targets and priorities supports practitioners to critically explore their own practice in the workplace

(Manley & Webster, 2006)

To achieve a regional, cohesive approach to the development and evaluation of practice development learning programmes, which reflect strategic priorities and organisational needs. It will also influence education commissioning.

‘Skills escalator’ connected to Benner’s (1984) levels of competence.

Focuses on learning outcomes.

Self-assessment determines ‘point of entry’ to education/development programmes

Novice

acquiring a basic understanding of PD

principles

Advanced Beginner

acquiring an understanding of PD theory, models and

frameworks and their applicability to

practice

Competent

Developing competence in the

application of theories, models, frameworks &

tools.

Proficient

Critical application of theories, models,

frameworks and tools.

Expert

Leading PD and contributing to the

development of new knowledge.

The learner should acquire a basic understanding of:

• PD principles of Collaboration, inclusion and participation.• PD methodologies.

• Principles of person-centred practice.

•Reflective practice.

•Values and making values and beliefs explicit.

• Workplace culture.

• Evidence informed practice.

•The context (unit, organisational, strategic and policy) of practice.

• Self & peer assessment using reflective appraisal and 3600 feedback.

The learner should acquire an understanding of:

• underpinning theories of PD focusing on how these theories enable emancipatory change.

• Different forms of evidence for practice.

•Principles and models of facilitation and mentorship.

•Active learning approaches and frameworks.• The necessary attributes and skills for developing practice.

• Using and informing policy and strategy in the context of undertaking PD.

The learner should know how to apply their understanding of:

• Theories of PD in the context of changing patterns towards effective person-centred workplaces.• Models, frameworks and tools and their critique in practice.

•Reflection on and evaluation of personal effectiveness.

• Team effectiveness and working with groups.

• Evaluation frameworks taking account of different stakeholder perspectives.• Policy and strategy developments and the contribution of PD to these.

The learner should be able to critique and generate new understandings of:

• How to create learning cultures using active learning approaches.• The development and application of evaluation frameworks in practice.

• Systematic processes to generate knowledge in and from practice.

• Leadership in developing practice.

•Influencing practice development in strategic and political contexts.•The use of practice development methodology to enable the implementation of key strategic developments, such as clinical supervision, patient experience standards, person-centred care, productive ward and LEAN.

The learner should be able to collaborate with and lead on practice development and practitioner research programmes that:

• Contribute to the ongoing development of facilitation skills and PD capacity building.

• Generate new knowledge through masters level and doctoral level programmes.• Influence strategy and policy.

• Enables practitioner research to be realised.

Making explicit links between, practice, knowledge, skills, tools, methodologies and theories

A Strategic Framework for Developing Practice Development Knowledge, Skills

and Expertise in Northern Ireland  

Developing Practice Development and Facilitation Capacity

Products Portfolio 

NOVICE ADVANCED BEGINNER

 

COMPETENT PROFICIENT EXPERT

 RCN: An introduction to practice development skills  QUB: Person-centred Assessment  QUB: Practice Development  QUB: Leading and Facilitating  CEC: Facilitation CEC: Practice Development CEC: Person-centredness       

 *UU: DPHP -Understanding practice development  *UU: DPHP - Facilitation and Leadership  *UU: DPHP - Practitioner as researcher  UU: IPDC Programme for developing facilitators of person-centred cultures

QUB: Leading and Facilitating  *UU: DPHP - Practitioner research project  *UU: DPHP - Enhancing practice development  *UU: DPHP - Facilitation and leadership in developing practice  *UU: DPHP - Enhancing skills in developing practice  UU: DPHP - Programme for developing facilitators  QUB: Person-centred assessment  UU: IPDC Foundation Practice Development School

 UU: DPHP - Critical inquiry in developing practice  UU: PG Cert. Health & Wellbeing (Facilitating learning and development)   

 UU: IPDC Advanced Practice Development School  UU and QUB: A variety of research modules are available which can be focused on investigating various aspects of practice development , facilitation and person-centredness.

Organisations need to:Assess learning needsUnderstand the range of Practice Development products availableBuild capacity for engaging in practice developmentIntegrate the practice development knowledge and skills framework

•“Yes, it’s quite a noise – but are we having any impact?”

•The challenge for all of us in practice development …