Preparing for Effective Health Care Leadership: An Innovative Approach to Assessment- The Patchwork Text Assessment

1. Preparing for Effective Health Care Leadership: An InnovativeApproach to Assessment- The Patchwork Text Assessment Jackie Leigh, June Rutherford, Jill Wild, Julia Cappleman, Celia Hynes

2. Presentation Outline Introduction to Patchwork Text Assessment - an innovative approach to post graduate assessment strategy Our journey- programme conception to reality of meaningful assessment Working example Patchwork Text Assessment – module level Themes taken from students critical commentary Systems to support method of assessment Debate and discussion

3. Patchwork Text Assessment ‘….form of assessment that consists of a number of small sections of work, or ‘patches’, which are later ‘stitched’ together later in a reflexive commentary….’ (Brunsden 2007)

4. Potential Benefits of the Patchwork Text  Assessment Student centred; validates student autonomy Highly collaborative between student and practice; peers and university facilitators/mentors Deep learning through the encouragement of reflection Recognises that learning is a gradual process rather than an outcome Allows students time to digest and make sense of their own learning (related back to work and self ) Student anxiety Changed relationship between teacher and student

5. Skills of Healthcare Leader and Manager: Our programme Philosophy Assessment processes and strategies that reflect the ‘real world’ recognising that healthcare leaders have to present, report, justify, reflect, defend and write critically. Students provided with opportunities to develop these skills throughout the assessment process Learning from, at and through work (Seagrave et al 1996)

6. Our Journey- Programme Conception to Reality of Meaningful Assessment Professional and political context Philosophy of programme Programme development issues Partnership and collaboration working (pivotal, potential students as steering group) LQF NHS Northwest Mentoring scheme Tripartite agreement, shadowing

7. Stages of Assessment Identify clear learning outcomes Design appropriate tasks that will directly assess whether each of the learning outcomes have been met Design appropriate learning opportunities for the students to get them to a point where they can successfully undertake the assessment tasks (Rust 2002 p148)

8. Example Patches Leading change for Patient and Service Improvement Module Patch 1 Critically discuss the drivers for service and quality improvement within your organisation and appraise the systems that support their success. Patch 2 Analyse and synthesise the drivers and restrainers that address the feasibility, desirability, viability and acceptability of implementing one change that you have identified to bring about patient and/or service improvements within your healthcare organisation.- (Utilisation of tools/techniques) Patch 3 Explore what resistance might be experienced when unfreezing the existing situation and critically discuss how you plan to involve and empower key influencers both internally and externally to your organisation with the change. (Models partnership working and stakeholder involvement) Critical Commentary The critical commentary provides you with an opportunity to reflect upon the process and application of the learning that you have experienced.

9. Example Patches Leading change for Patient and Service Improvement Module Patch 1 Critically discuss the drivers for patient and/or service and quality improvement within your organisation and the systems that support their success Critical thinking points and exploration: Sources of information/evidence Opportunities and constraints for you as a clinical leader within your organisation in contributing towards the quality and service improvement agenda (autonomy and role development) Policy driving quality and service improvement within your organisation: reality versus rhetoric Systems in place to support service and quality improvement Feedback in Reflective Group

10. Example Patch Leading and Managing in Healthcare Organisations Module Introductory Patch Identify a major health care policy/ initiative which has leadership implications for your organisation. You will be required to complete a SWOT Analysis in relation to how your organisation is positioned to respond to this major health care policy/ initiative Feedback in Reflective Group In week 6 of the module you will be required to share the findings from the SWOT analysis with your peer group and module team lecturer(s).

11. Themes Critical Commentary - Leading and Managing in Healthcare Organisations Module Programme philosophy and its impact on the success of the Patchwork Text Assessment Leadership development targeted against leadership frameworks Application and applicability of learning to the students own healthcare organisation Integrating theory to practice through theoretical development and work based activities The value of networking The importance of multi-professional reflective groups

12. Local systems to support Patchwork Text Assessment Structured approach to design of module- timetable Blended learning- work based activities; reflective groups; facilitated Blog; peer feedback Mentorship (NHS Northwest Mentoring Scheme) Tripartite agreement (student; personal tutor; manager) Reflective journal Critical commentary – demonstrate to themselves and work new, enhanced leadership qualities