Nurse-led Innovation in Practice Workshop: Enabling Participation, Reflection, and Facilitation

1. The Foundation of Nursing Studies (FoNS)in Partnership with the Burdett Trust for NursingPatients First:Supporting Nurse-led Innovation in Practice Welcome to Workshop 3

2. Overview of Workshop 3 Today we will explore how the following processes can inform improvements in practice: • Enabling the participation of service users • Reflection • Facilitation • Evaluation

3. Practice Development Model transforming individuals and contexts of care Improving patient-person centred care Learning in and from practice Systematic approaches Values and beliefs

4. Enabling Participation Aims of the session: • To explore the ways in which service users are participating in projects • Consider the different levels of participation • Benefits/challenges • Descriptors • Share experiences/ideas about participation • Consider the ways in which participation could be enhanced

5. Model of Participation • One-way information – service users know the results of the project • Consultation - service users are asked about pre-determined issues • Discussion about project - service users are involved in the design of the project and some of the key issues it covers • Doing some of the project - service users carry out parts of the evaluation or data collection • Doing most of the project - service users are involved in most parts of the project • Doing the project together - service users are jointly responsible for the project (Adapted from a Charities Evaluation Service Model)

6. Learning in Practice Development • Developing people and practice is an intentional purpose of practice development • Practice development integrates work-based learning with its focus on active learning and formal systems for enabling learning in the workplace to transform care (Manley, K., McCormack, B. and Wilson, V., 2008) • Learning is not just focussed on personal and/or professional development as this may or may not impact on practice • Learning is directly targeted at practice (patients, their needs and their care), hence the focus on WBL and active learning

7. Reflection in Practice Development • Reflection is a key activity in practice development • Learning in practice development arises from self knowledge and awareness through structured and intentional reflection • Critical analysis and reflection acts as a motivator for action

8. Reflection ‘…using the reflective process to look systematically and rigorously at our own practice. We all reflect on our practice to some extent, but how often do we employ those reflections to learn from our own actions, to challenge established theory and, most importantly, to make a real difference to our practice.’ Rolfe et al. (2001, pxi)

9. Evaluation in PD Evaluation: • Is a systematic way of practitioners learning from a collection of evidence they analyse • Is part of the on-going process of practice development (rather than something that is just considered at the end) • Is based on a belief that approaches which focus on people and practices and encourage stakeholder participation are more effective in achieving sustainable healthcare service improvements • Uses multiple forms of evidence to gain the perspectives of all stakeholders

10. PRAXIS Evaluation Praxis evaluation: • Is offered as a collaborative process for evaluating practice change and workplace culture • Reflects six core components of effective evaluation: purpose, reflexivity, approaches, context, intent, stakeholders Praxis evaluation takes into consideration: • The evaluation process • The experience of being engaged in that process • Ways in which the outcomes that will improve and impact on how healthcare is experienced can be captured

11. PRAXIS Evaluation • Purpose – Have a clear purpose (aims and objectives) • Reflexivity – Answer critical questions about the way we work and should encourage critical dialogue within the workplace • Approaches – Use the best approaches considering how they fit with the context of the purpose (make use of the right tools for the job!) • ConteXt - Appreciate and reflect on how the culture and context can impact/influence the work being done and the outcome of this • Intent - Use clear, transparent, tried and tested methodology and be committed to doing more than scratching the surface • Stakeholders - Involve all relevant stakeholders

12. Facilitation • Facilitation is one of the most important features of practice development work   • The way in which improvement/development work is facilitated can have a significant impact on the successful implementation of evidence into practice, cultural change, sustainability of improvements/developments

13. A Picture of Facilitation Create a picture/collage/installation that reflects your purpose and role as a facilitator in your project? • What are you trying to achieve and how?

14. Situational Facilitation Encouraging style • Sharing • Reinforcing • Encouraging • Praising Supporting style • Turning or mulling over • Leaving alone • Letting go • Being available Coaching style • Involving • Explaining • Collaborating • Negotiating Directing style • Initiating • Structuring • Telling • Guiding Hersey and Blanchard, 1996

15. Next steps…

16. Thank you for participating Have a safe journey www.fons.org