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Explore the essential elements in developing a Model of Care toolkit that integrates evidence into practice. Understand the context, stakeholder roles, governance, care needs, transparency, evaluation, and reform for effective healthcare delivery and patient outcomes. Learn the importance of articulating a clear model that aligns with patient-centered care principles, clinical pathways, and interdisciplinary collaboration. Enhance your practice with strategic evaluation, organizational reforms, and evidence-based solutions. Utilize key outcome measures and implement change to drive better care outcomes.
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Without an Understanding of Purpose and Context, Data is Blind: The Development of a Model of Care Toolkit. Professor Kenneth Walsh (UOW) Associate Professor Cheryle Moss (Monash)
Evidence and Practice Change Knowing what to do is not enough to bring about practice change. Change is a social process and as such is complex The formula for getting evidence into practice SI=f(E, C ,F) Kitson, et al 1998 Practice is often invisible to those involved in it The importance of context
Principles • “A person is more likely to integrate and accept that which is reached by his or her own reasoning processes” • “I learn what I believe when I hear myself talk” (Miller, 1983: 120)
This element is a key to understanding the context of your model of care CONTEXT Element 1: Name, Purpose & Description of Service How would you describe the context of your service?
Who are our consumers? = CONTEXT Element 2: Consumers What key aspects of the patient journey do we work with? Key markers & transitions from meet & greet to discharge from the service
Governance here is in the sense of orchestrating & achieving the overall co-ordination of care CARE Some questions…In your MOC... • Who is involved? Health professionals? others? • What does each do? • How does the MDT team manage the care & patient journey? Element 3: Governance
Care plans Clinical pathways Care protocols CARE Element 4: Need for care & Intervention Specific disciplinary inputs
Signalling who is involved in the care, features of the context Signalling key markers of progress Features of care -Negotiating goals & management plan Checking satisfactions & perceptions - in process (not as outcomes) CARE Element 5: Transparency for Patients & Families
Key outcome measures Clinical Team Service Other REVIEW Some questions… In your MOC... • Why would outcomes in each of these areas be important? • What would constitute key outcomes in each of these areas? • How would you measure or evaluate these? Element 6: Evaluation
Local & National Organisational strategic maps Health care gaps Health policies National & International Modernisation Evidence REVIEW Element 7: Reform When & how would you /do you incorporate these into your MOC?
References • Binnie, A. & Titchen, A. (1999) Freedom to Practise: The Development of Patient-Centred Nursing, Oxford: Butterworth-Heinemann. • Harvey, G., Loftus-Hills, A., Rycroft-Malone, J., Titchen, A., Kitson, A., McCormack, B. & Seers, K. (2002) Getting evidence into practice: The role and function of facilitation, Journal of Advanced Nursing, 37 (6), pp.577-588. • Hughes, F; Duke, J; Bamford, A; & Moss, C (2006).‘Enhancing Nursing Leadership through Policy, Politics & Strategic Alliances’. Nurse Leader. 4(2) 24-27 • Kitson A, Harvey G, McCormack B (1998). ‘Enabling the implementation of evidenced based practice: A conceptual framework.’ Quality in Health Care 7(3): 149–58. • Lawless, J & Moss, C (2007). ‘Exploring the Value of Dignity in the Work-life of Nurses’. Contemporary Nurse. 24(2) 225-236. • Manley, K. & McCormack, B. (2003) Practice development: Purpose, methodology, facilitation and evaluation, Nursing in Critical Care, 8 (1), pp. 22-29. • Manley, K. (1999) Developing a culture for empowerment, Nursing in Critical Care, 4 (2), pp. 57-58. • McCormack B., Manley, K. & Garbett, R. (2004) Practice Development in Nursing, Oxford: Blackwell • Miller W. Motivational interviewing with problem drinkers, Behavioural Psychotherapy. 1983; 11 (2), 147 –172.
MacLeod, R., Vella-Brincat, J., & Macleod, A. (2004). The palliative care handbook, incorporating the Nurse Maude palliative care formulary: Guidelines for clinical management and symptom control. (2nd ed.): Genesis Oncology Trust. • Rycroft-Malone J., Harvey G., Seers K., Kitson A., McCormack B. & Titchen, A. (2004) An exploration of the factors that influence the implementation of evidence into practice, Journal of Clinical Nursing 13 (8), pp.913-924. • Therapeutic Guidelines Ltd. (2001). Therapeutic guidelines: Palliative care. (Version 1) Melbourne: Author. • Walsh, K & Moss, C (2007). ‘Practice Development in New Zealand: Reflections on the Influence of Culture and Context’. Practice Development in Health Care. 6(1) 82-85. • Walsh, K & Moss, C (2007) ‘Transitions in Mental Health (Chapter 9)’. In McAllister, M (Ed.), (2006). Solution Focused Nursing: Rethinking Practice. Palgrave Macmillan. • Walsh, K; Moss, C & FitzGerald, M (2006). ‘Solution Focused Approaches and their Relevance to Practice Development’. Practice Development in Health Care. 5(3) 145-155. • Walsh, K; Lawless, J; Moss, C & Allbon, C. (2005). ‘The Development of an Engagement Tool for Practice Development’. Practice Development in Health Care. 4(3) 124-130. • Ward, C. & McCormack, B. (2000) Creating an adult learning culture through practice development, Nurse Education Today, 20 (4), pp.259-266.
