Person-centred Practice Research Centre Institute of Nursing & Health Research
Person-centred Practice Research Centre: Work Strands The Provision Of Care To Older People Methodology Development Person-centred Practice Development
Person-centred Practice Development • Focuses on implementation studies in collaboration with partner organisations for the purposes of promoting person-centredness in practice • Developing and testing methodological approaches in this area
What is Practice Development? • a systematic approach which aims to help practitioners and healthcare teams to look critically at their practice and identify how it can be improved. • Its purpose is to develop effective workplace cultures that have embedded within them person centred processes, systems and ways of working. • Skilled facilitators help frontline staff to get underneath the surface of daily routine, to critically reflect on the values and beliefs they hold about patient care. • Teams are challenged to consider if the behaviours, systems and processes used in practice are consistent with person centred values and what needs to be changed. • Develops evidence from practice, and implements evidence into practice. • Achieves sustainable change through its focus on continuous learning in practice.
PD is ‘micro-system’ oriented and context specific. • PD works with individuals and teams to: • engage with a shared vision • create links with their own aspirations • translate complex organisational and strategic agendas into practice reality • make sense of complex forms of evidence • become clear about what constitutes person centred care. • move the energy that would otherwise have been expended in conflictual agendas and resistance towards shared agendas. • facilitate the system as a whole to re-engage with the untapped potential lying within the healthcare workforce and their patients.
Practice Development Values & Beliefs Transforming culture and context of care PERSON CENTERED CARE Systematic and rigorous Learning in and from practice (Garbett & McCormack, 2003)
Person-centred Nursing Framework (McCormack & McCance 2010)
The PCN Framework CARE ENVIRONMENT The context in which care is delivered PREREQUISITES Attributes of the nurse OUTCOMES Results of effective person-centred nursing CARE PROCESSES Delivering care through a range of activities
Use of the framework in practice • To promote an understanding of person-centred care • To analyse barriers to change • As an aid for reflection • To focus the implementation and evaluation of developments in practice • To inform strategy
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)
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.