The Strategic Framework for Enhancing Practice Development in NI

1. The Strategic Framework for Enhancing Practice Development in NI Tanya McCance Professor of Nursing R&D University of Ulster

2. Fundamentally …. Practice Development is about developing people and their practice.

3. Person-centredness and PD “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)

5. Recommendations from the Francis Report • 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.

6. Practice development is an approach that … • helps to provide care that patients feel is right for them • focuses on implementing practice change in the workplace that is based on evidence • helps to develop practice collaboratively and systemically • can 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)

8. Purpose of the Practice Development Strategic Framework 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.

9. PD Learning and Development Framework • ‘Skills escalator’ connected to Benner’s (1984) levels of competence. • Focuses on learning outcomes. • Self-assessment determines ‘point of entry’ to education/development programmes

10. Practice Development Skills Escalator

12. A Strategic Framework for Developing Practice Development Knowledge, Skills and Expertise in Northern Ireland Developing Practice Development and Facilitation Capacity Products Portfolio

14. Key messages Organisations need to: • Assess learning needs • Understand the range of Practice Development products available • Build capacity for engaging in practice development • Integrate the practice development knowledge and skills framework

15. The challenge for all of us in practice development … • “Yes, it’s quite a noise – but are we having any impact?”