International Practice Development Journal最新文献

{"title":"‘Tell Me! Learning from Narratives’: an evaluation of an educational programme on narrative inquiry for nursing home care students","authors":"I. Muller-Schoof, M. Snoeren, Marjolein E. A. Verbiest, A. Stoop, K. Luijkx","doi":"10.19043/ipdj.131.004","DOIUrl":"https://doi.org/10.19043/ipdj.131.004","url":null,"abstract":"Background: Narratives have the potential to promote person-centred practice, yet few studies have been undertaken on the impact of a narrative approach on learning for care professionals or students. With this in mind, we co-designed an educational programme on the use of older persons’ narratives for professionals in research, education and nursing. Aims: To investigate the impact of attending a narrative educational programme on the learning of nursing and healthcare assistant students, and on their person-centred practice. We also examined what factors characterised and influenced this learning. Methods: This was a mixed-methods evaluation study. We evaluated the impact of a narrative educational programme on third-year healthcare assistant students and second-year nursing students. Students were invited to complete a survey before and after the educational programme. After the programme, we performed interviews with all the educators and some of the students. Results: Students’ learning from the narratives was varied, and there were differences in the extent to which the programme raised awareness. Some students demonstrated new understandings, actions and behaviours. Students self-reported that they had experienced learning related to 12 learning outcomes and to their person-centred practice. According to educators and students, this learning was experiential and reflective, and was influenced by the students’ level of participation, personal characteristics and openness to other perspectives, as well as the educators’ guidance and the workplace conditions. Conclusion: This study shows that the educational programme ‘Tell Me! Learning From Narratives’ can contribute to the learning of healthcare assistant and nursing students in terms of their understanding of the field of narrative inquiry as well as the development of their person-centred practice. Providing support for educators is a prerequisite for the programme to work. Implications for practice: The programme has the potential to contribute to a person-centred care curriculum Self-evaluation, for example via the self-scan person-centred care survey in this study, prompts awareness in students Educators should be supported in their use of a narrative approach, person-centred care values and didactic skills Educators should reflect the values of person-centred care in their practice and in their relationships with students as role models","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43863176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PhD trials and parenthood tribulations: adopting a person-centred approach to support the ticking of two clocks","authors":"A. Kelly","doi":"10.19043/ipdj.131.010","DOIUrl":"https://doi.org/10.19043/ipdj.131.010","url":null,"abstract":"Women who are trying to carry out doctoral studies and build a career may find this time overlaps with their biologically optimal reproductive years. The assumption that this should oblige women to prioritise one or the other needs to be challenged and a person-centred approach adopted for students wishing to start a family during their PhD studies. Challenging this binaristic premise and taking person-centred approaches to support doctoral student mothers can help to encourage further women of childbearing age to undertake doctoral research training. Person-centredness is defined by McCormack and McCance (2017, p 3) as: ‘…an approach to practice established through the formation and fostering of healthful relationships between all care providers, service users and others significant to them in their lives. It is underpinned by values of respect for persons, individual right to self-determination, mutual respect and understanding. It is enabled by practice development.’ Research has shown that the ability of women to balance work and family responsibilities is a significant determinant of their ability to advance academically (Thanacoody et al., 2009). Studies have also demonstrated that women take longer than men to complete doctoral programmes and experience a lower publication rate compared with men as a result of family obligations (Velander et al., 2021). Equally, it has been shown that starting a family during academic studies can negatively affect women’s careers but not men’s (Acker and Webber, 2017). Combining motherhood and academic work within higher education has long been discussed and these discrepancies are significant when it comes to women developing research careers. So we need to ask, how can we adopt person-centred approaches to support doctoral student mothers in completing their PhD research and its associated publications as well as successfully navigating motherhood?","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46333584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case study evaluation of the legacy practitioner role: implications for system and workforce transformation","authors":"S. Hardy","doi":"10.19043/ipdj.131.007","DOIUrl":"https://doi.org/10.19043/ipdj.131.007","url":null,"abstract":"Background: The World Health Organisation’s Global Strategy on Human Resources for Health: Workforce 2030 sets out how vital the healthcare workforce is to the resilience of communities and health systems. Nurses are the largest professional group in that workforce and therefore support for nurses’ practice roles and wellbeing is pivotal to sustaining the global health economy. Nurses with extensive experience can contribute significantly in this respect, and the notion of the legacy practitioner role arose in response to the need to retain the expertise of long-serving nurses. Aim: The aim of the pilot project evaluation was to gather impact evidence of a newly introduced legacy practitioner role, as a workforce planning strategy for retaining the expertise of professionals considering or close to retirement. Design: A mixed-methods case study evaluation was used to capture stakeholder-driven process and outcome data. Emphasis was placed on interacting with project participants and stakeholders with a view to understanding human interconnectedness in the context of sustainable learning and quality-driven improvements at system level. Data analysis used first-order thematic analysis to capture process indicators, followed by a second-order impact framework analysis of workforce and system-level transformation to capture potential sustainable outcome indicators. Conclusion: Evidence identified six core aspects of the legacy role, with one outcome indicator related to reducing attrition in the workplace. Two overarching themes – enhancing practice skills and knowledge exchange – considered the impact of the role, not only with existing healthcare staff but in ‘feeding forward’ practice expertise to the potential future workforce. Implications for practice: Evidence suggests the legacy role can enable knowledge and skill enhancement, and help stressed or anxious staff and learners overcome thoughts and intentions to leave The role provides clinically credible, practice-driven expertise, helping create the conditions for safe and effective person-centred practice Legacy roles can inspire a professional expertise, based on values of compassion and respect that are spread and sustained among new staff External stakeholders who engage with legacy practitioners can also experience positive outcomes","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48483524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of working environment and employee engagement in person-centred processes for older adults in long-term care services","authors":"H. H. Midje, S. Torp, Kjell Ivar Øvergård","doi":"10.19043/ipdj.122.007","DOIUrl":"https://doi.org/10.19043/ipdj.122.007","url":null,"abstract":"Background: Assuring high-quality, person-centred practice in long-term care organisations requires attention to the wellbeing of the staff who deliver it – a factor sometimes overlooked amid the increasing challenges such organisations confront internationally. Research has shown that job demands and job resources are distinct aspects of the working environment that interact in predicting staff wellbeing and motivation. Work engagement can serve as a means to improve job motivation and performance, and also potentially facilitates activities that operationalise person-centred practice. Aims: To explore the influence of job demands and job resources on work engagement and person-centred processes, and examine whether engagement moderates or mediates the effects of demands and resources on person-centred processes. Method: A cross-sectional survey design with standardised self-report questionnaires was used to collect data on job resources, job demands, work engagement and person-centred processes from 128 registered nurses and nursing assistants in municipal care homes and nursing homes for older adults in Norway. Findings: Both work engagement and person-centred processes were positively associated with job resources. There was no significant negative association between person-centred processes and job demands. Work engagement was neither a significant moderator nor a mediator between job resources and person-centred processes. Conclusions: Enhancing job resources for nursing staff can positively impact their work engagement and support person-centred processes. In contrast to predictions by the dominant Job Demands-Resources (JD-R) model, work engagement did not moderate nor mediate the influence of job resources on person-centred processes. Implications for practice: Providing job resources such as meaningful tasks, colleague fellowship, development and autonomy is important to enhance nursing staff’s work engagement Improving organisational and psychosocial working conditions could build an organisational culture that is favourable for person-centred processes Building a supportive working environment within long-term care organisations is strategically important to resource-efficient delivery of person-centred care","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48478452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bringing out leaders in dementia (bold): creating the conditions for persons to flourish as social leaders","authors":"Lorna Hill, F. Greenwood, H. Wilkinson, B. McCormack, M. Schamberger","doi":"10.19043/ipdj.122.003","DOIUrl":"https://doi.org/10.19043/ipdj.122.003","url":null,"abstract":"Background: bold (Bringing Out Leaders in Dementia), funded by the Life Changes Trust, is a creative and innovative social leadership project for people in Scotland living with dementia. Aim: A key part of bold is the bold programme, which takes a person-centred focus to help people empower themselves to flourish through creative methods and personal development. bold brings together people with a diverse range of skills and abilities on an equal footing in a safe and supported space, in which they can explore themselves as ‘social leaders’. Methods: An interdisciplinary team from the University of Edinburgh and Queen Margaret University collaborated with creative artists from the outset to develop the programme that uses a mixture of arts-based methods to encourage creativity, innovation and imagination to explore and develop leadership potential. These include creative writing, working with clay and collage, improvisation, movement, reflective walking, singing and song writing, voice and breathing, and performing arts. In this article we provide an overview of the programme’s design from its outset and of how the creative methods have been adapted and developed to work online as a response to the Covid-19 pandemic. Results: A brief overview shows how bold has evolved beyond the online programme and how those who take part continue to find ways to create spaces for people living with dementia to flourish as they become part of the bold community. Implications for practice: A programme for encouraging and empowering individuals to flourish requires a reflective and person-centred approach in a safe and supported environment Successful outcomes depend on multiple factors, including careful programme delivery planning, good facilitation, and commitment and belief from those who take part An inclusive and accessible approach is beneficial when using creative methods for people living with dementia","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47397647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The value of knowledge and persons living with dementia: a healthcare professional’s reflection","authors":"Karen Lok Yi Wong","doi":"10.19043/ipdj.122.011","DOIUrl":"https://doi.org/10.19043/ipdj.122.011","url":null,"abstract":"Background: I am a social worker with experience in working with persons with dementia in long-term care. This is a critical reflection of my practical experience of my assumptions regarding the knowledge held by persons with dementia in long-term care. I will suggest my initial assumptions were influenced by positivist epistemology and outline how they change when I changed to a constructivist epistemological stance. Aim: The aim of this article is to break down assumptions arising from a positivist epistemological stance so that I, and other healthcare professionals who might share similar assumptions, will better value the knowledge of persons with dementia and incorporate it into their care and our overall practice. Findings: I identified my two inadvertent assumptions. First, I assumed cognition was the only way of knowing. However, persons with severe dementia can still know their needs and wants from their bodies (embodied knowledge). Second, I assumed that knowledge only had value if it was real to me, yet there could be multiple subjective realities. Conclusion: A change from a positivist to constructivist epistemological stance can lead to a better appreciation of the knowledge held by persons living with dementia, and thereby allow them to have input into their own care. Implications for practice: Professionals could better value the knowledge held by persons with dementia by: Practising reflexivity Acknowledging the views of persons with dementia Thinking about the interrelation among various areas of care","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47567473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Successful healthcare technology requires person-centred relationships and contexts: case narratives on medication-dispensing systems","authors":"T. van der Zijpp, Shaun Cardiff, M. Nieboer, C. Nierse, Sanne Schepens, Hélène van den Nieuwenhoff, Suzanne Keizer","doi":"10.19043/ipdj.122.008","DOIUrl":"https://doi.org/10.19043/ipdj.122.008","url":null,"abstract":"Background: Providing person-centred care with a limited workforce is a major challenge in our ageing society. While care technologies such as electronic medication-dispensing systems are a means to help older persons with chronic conditions continue living independently, few studies have explored their implementation and use from a multiple stakeholder perspective. This prompted six Dutch care organisations and a university of applied sciences to collaborate in the Living Longer @ Home practice development project. Aim: To explore the influence of medication-dispensing systems on service user self-reliance and self-determination, as well as on professional and informal carer workload, in the community setting. Methods: A total of 14 case studies were used to understand the complexity and particularity of medication-dispensing systems in community care. Case narratives were constructed by (supervised) nursing students, then collated, and critically and creatively analysed by university- and practice-based researchers. Results: The case narratives reveal that while technology can increase self-reliance and self-determination for service users, it can also raise (new) concerns about medication safety and social isolation. Even after careful medication-dispensing systems indication, introduction and implementation, carer workloads may simply be changed rather than reduced. The dyadic and triadic relationships are affected as roles and responsibilities change, and trust may need to be rebuilt. Conclusions: Working with medication-dispensing systems entails more than implementing a piece of technology. While these systems can increase the duration of safe independent living, their effect on the lifeworld of those involved also needs to be considered and prepared for. A person-centred and relationship-oriented as opposed to task-orientated approach is advisable. Implications for practice: Before the introduction of care technology, nurses should discuss its impact on service users, informal carers, themselves and the dyadic/triadic relationship Practitioners, managers and technicians should collaboratively integrate care technology into community care services (Supervised) construction of case narratives enables workplace learning and practice development","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48746883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Book Review: Towards the Compassionate University: From Golden Thread to Global Impact","authors":"S. Dyer","doi":"10.19043/ipdj.122.012","DOIUrl":"https://doi.org/10.19043/ipdj.122.012","url":null,"abstract":"I have had the privilege of reading Margreet van der Cingel’s 2022 book, Compassion, the Core Value in Person-centred Care, which is the result of a programme of research including a PhD and two empirical masters studies. The doctorate focused on three things: a theoretical and philosophical exploration of compassion; a study of compassion in the history of nursing; and a study of contemporary daily nursing practices. The empirical masters studies explored the role of compassion in the development of the professional nursing identity, and the strategies of novice nurses for developing and sustaining compassion (van der Cingel, 2022, p 4).","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46176247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An organisational approach to building research capacity among nurses, midwives and allied health professionals (NMAHPs) in clinical practice","authors":"C. Whitehouse, Jacky Copping, P. Morris, Darylile Guledew, Beverly Chilson, Rene Gray, Kirsty Cater, H. Hall","doi":"10.19043/ipdj.122.009","DOIUrl":"https://doi.org/10.19043/ipdj.122.009","url":null,"abstract":"Background: As nurses, midwives and allied health professionals deliver the majority of direct patient care, they are well placed to lead research and generate evidence to inform practice. Aims: To consider how best to implement the findings of The Whitehouse Report, to reflect on the development of a nursing, midwifery and allied health professions research and evaluation service at a UK NHS foundation trust, and to understand the mechanisms that contribute to change. Methods: Using the principles of change theory we developed four theories of change, underpinned by a logic model, to consider the sequence of events and the expected results. The impact of the new service on workforce capacity and capability and the mechanisms of change were considered retrospectively over a two-year period between 2019 and 2021. Surveys, interviews, field notes and data regarding a number of projects were collected and reviewed. Results: Research, quality improvement and service evaluation activity have increased across all nursing, midwifery and allied health professions at our hospital trust. Six underpinning core values and seven practical mechanisms to implement these values were identified as successful drivers of change for the service. Discussion: The intentional development of a network of teams, individuals and patients was fundamental to building capacity, capability and confidence among staff. Enablers to the increase in research activity included using role modeling, inspiration and perseverance to make visible the value of nurses, midwives and allied health professionals in leading research-based care. Preconceived ideas of who ‘should’ do research challenged the positive culture of critical inquiry for the benefit of patients, service improvements and celebration of existing work. Strategies to support research activities across the professions require vision, time, infrastructure and buy-in at micro, meso and macro levels, as well as a sustained effort from those directly involved. Conclusions: It would be beneficial to encourage bespoke approaches to help staff translate ideas into practice-based projects as part of capacity, capability and confidence building for research across the clinical workforce. Audit, quality improvement and evaluation activities can lead directly to an increase in research engagement, involvement and leadership among nurses, midwives and allied health professionals, as well as supporting recruitment and retention. Future research could explore whether this approach would be replicable and effective in other healthcare organisations or systems. Implications for practice: Shared values are essential to forge progress in research activities led by nurses, midwives and allied health professionals The use of audit, quality improvement and service evaluation approaches are effective in increasing research activity within organisations A number of approaches to growing the capacity, capability and confidence of staff should be ","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46437300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Person-centredness in the workplace: an examination of person-centred skills, processes and workplace factors among Medicaid waiver providers in the United States","authors":"Bret Blackon, Joohee Lee, Rebecca Bain, B. M. Brazeal, Courtney E. Williams, Yolanda Green","doi":"10.19043/ipdj.122.006","DOIUrl":"https://doi.org/10.19043/ipdj.122.006","url":null,"abstract":"Background: Existing research supports the effectiveness of person-centred practices in working with persons with physical, intellectual and developmental disabilities, but less clear is the influence of workplace factors on the implementation and quality of person-centred practices. Aims: This article explores the influence of workplace factors on job satisfaction and on the implementation and quality of person-centred practices in healthcare agencies that provide home- and community-based services through a Medicaid waiver in Mississippi, a state in the southeastern United States. Methods: Purposive sampling was used to collect data via online surveys to explore the interrelationships among person-centred workplaces, job satisfaction and person-centred practices. Results: Path analysis reveals that a person-centred workplace influences both skill implementation and person-centred processes. Job satisfaction was significantly correlated to skill implementation and person-centred processes in bivariate analysis but was not detected in the path model. Conclusion: This study suggests that organisations may improve the provision of person-centred practices by investing in policies that create a person-centred workplace. Implications for practice: A person-centred workplace environment is a critical factor that influences person-centred practices and job satisfaction among employees Adapting practices to be person-centred should occur at every level of an organisation Social care organisations should maintain continuous assessments of person-centredness to ensure a person-centred workplace where employees consistently use person-centred skills and processes with the people whom they support","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43717397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}