Embedding storytelling in practice through CAKE – a recipe for team wellbeing and effectiveness

Caroline A W Dickson, Kathy Macdonald
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Abstract

Background: CAKE, an interactive resource to promote individual and team wellbeing and effectiveness through storytelling was co-designed with community nurses in 2020. In Phase 1 of this project, CAKE comprised seven slices that guided teams through a process of connecting, storytelling, reflecting and action planning to promote wellbeing. It was developed in response to an increasing awareness of psychological harm experienced by nurses and other healthcare professionals. Levels of stress in the workplace are currently contributing to problems with recruitment and retention, and a lack of resources have impacted on practitioners’ wellbeing, and their ability to be compassionate caregivers and to contribute to healthful teams. Aim: Phase 2 of the project sought to: 1) develop facilitators of CAKE; 2) pilot test the prototype CAKE resource in a range of contexts; and 3) create a digital version of CAKE. Methods: An evaluation approach to pilot testing, using multiple methods of data collection, involved 130 health and social care practitioners at 17 sites across the UK. Eight facilitator support sessions, underpinned by the Critical Ally model were offered and data were analysed using thematic analysis. Findings: The findings revealed two overarching themes: facilitating CAKE and experiencing CAKE. In the former, three themes emerged: preparing for CAKE, trying CAKE and embedding CAKE. The latter had two themes: giving it a go and culture change. Following the study, the number of CAKE slices was increased from seven to eight by separating reflection and action planning, and minor amendments were made around spelling and grammar. Conclusion: We propose CAKE as a novel resource to promote individual and team wellbeing and effectiveness in health and social care teams. CAKE users acknowledge the challenges in creating space to use the resource, but when it is implemented teams embed practices that create healthful teams. As facilitators use CAKE, they develop their facilitation skills but they require preparation and support. Implications for practice: Taking time out to use CAKE can improve individual and team wellbeing and effectiveness Using CAKE supports the growth of gentle facilitation practices within teams CAKE has the potential to develop teams in which collective leadership is the norm Successful implementation of CAKE is dependent on support from managers and a culture that prioritises wellbeing
通过蛋糕将讲故事融入实践——这是团队幸福感和有效性的秘诀
背景:CAKE是一种互动资源,通过讲故事来促进个人和团队的幸福感和有效性,于2020年与社区护士共同设计。在该项目的第一阶段,CAKE由七个部分组成,指导团队通过连接、讲故事、反思和行动计划的过程来促进健康。它是为了应对护士和其他医疗保健专业人员对心理伤害的日益认识而开发的。目前,工作场所的压力水平导致了招聘和留用方面的问题,资源的缺乏影响了从业者的健康,以及他们成为富有同情心的照顾者和为健康团队做出贡献的能力。目标:该项目的第二阶段旨在:1)培养CAKE的促进者;2) 在一系列上下文中对原型CAKE资源进行试点测试;以及3)创建CAKE的数字版本。方法:采用多种数据收集方法,对试点测试进行评估,涉及英国17个地点的130名卫生和社会护理从业者。在Critical Ally模型的支持下,提供了8次辅导员支持会议,并使用主题分析对数据进行了分析。研究结果:研究结果揭示了两个总体主题:促进蛋糕和体验蛋糕。在前者中,出现了三个主题:准备蛋糕、尝试蛋糕和嵌入蛋糕。后者有两个主题:尝试和文化变革。研究结束后,通过将反思和行动计划分开,将蛋糕片的数量从7片增加到8片,并对拼写和语法进行了细微的修改。结论:我们建议将CAKE作为一种新的资源,在卫生和社会护理团队中促进个人和团队的幸福感和有效性。CAKE用户承认在创建使用资源的空间方面存在挑战,但当它被实现时,团队会嵌入创建健康团队的实践。当辅导员使用CAKE时,他们会发展自己的辅导技能,但需要准备和支持。实践意义:抽出时间使用CAKE可以提高个人和团队的幸福感和效率使用CAKE有助于团队内部温和促进实践的发展CAKE有潜力发展以集体领导为规范的团队CAKE的成功实施取决于管理者的支持和优先考虑幸福感的文化
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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