International Practice Development Journal最新文献

{"title":"PLATO: a practice development approach to reconsidering student learning partnerships","authors":"C. Hamshire, K. Jack","doi":"10.19043/ipdj.112.008","DOIUrl":"https://doi.org/10.19043/ipdj.112.008","url":null,"abstract":"Background: This article explores the use of a practice development approach to support nursing students’ engagement in learning partnerships in clinical practice settings. Aim: To reflect, using the model proposed by Rolfe and colleagues (2001), on the development of ‘PLATO’ – an educational tool to help nursing students explore their role in building learning partnerships in clinical settings. Conclusion: A practice development approach to clinical learning partnerships can support an effective learning culture. As a result, nursing students can gain greater empowerment and take increased responsibility for their learning. Implications for practice: • Facilitating learning partnerships with students is important for achieving person-centred care • Partnership working provides opportunities for true collaboration and for learning with and from our students • Developing collaborative spaces can facilitate nursing students to reflect in and on their practice","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48097152","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":"Transitional nursing care for older inpatients: a person-centred research programme","authors":"Cédric Mabire, J. Pellet","doi":"10.19043/IPDJ.111.012","DOIUrl":"https://doi.org/10.19043/IPDJ.111.012","url":null,"abstract":"The models and theories presented in this article underpin our various research projects, either philosophically or by their concrete application in the interventions developed, enabling us to understand through the lens of person-centredness how transitional care can adapt to meet the older person’s specific needs.","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":"11 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2021-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47435879","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 educational initiative to support the development of communities of practice in older people’s care home settings","authors":"K. Jack, L. Jones, C. Hamshire","doi":"10.19043/IPDJ.111.007","DOIUrl":"https://doi.org/10.19043/IPDJ.111.007","url":null,"abstract":"Background: It is predicted that care home provision for older people will need to increase significantly over the next 30 years, requiring a skilled workforce that expands to meet this growing need. Innovative practice development strategies are required to support the existing workforce and provide incentives to help recruit new staff. Aim: This article aims to explore the use of the peer-assisted learning model to support the development of communities of practice in care home settings in an area of England. Method: Care home teams were invited to university-based workshops and their experiences of using peer-assisted learning were elicited through narrative telephone interviews undertaken with care home managers. Findings: Three overarching themes were identified relating to practice development: context, process and impact. Through peer-assisted learning, staff were empowered to share their expertise and knowledge with colleagues, resulting in enhanced communication, respect and person-centred resident care. Managers viewed peer-assisted learning as a sustainable, low-cost investment in staff development. Conclusion: This article contributes to practice development by presenting reflections on an innovative initiative to facilitate the use of peer-assisted learning in educational practices in the care home workforce. Combining the philosophies of community of practice and peer-assisted learning provides a model that can foster practice development in the care home setting. Further, this work can support the development of communities of practice that operate across care homes on a national/international basis. Implications for practice: This article describes a sustainable practice development model that can be used in the care home setting Grounding practice development in the philosophies of peer support and communities of practice can promote a climate of mutual respect and enhanced communication Improved communication and sharing of expertise within care home teams offers the potential for improved resident-centred care provision","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":"11 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2021-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46381396","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 Queen’s Nurses collaborative inquiry - understanding individual and collective experiences of transformative learning","authors":"B. McCormack, C. Cable, J. Cantrell, A. Bunce, Jane Douglas, Julie Fitzpatrick, Nikki Forsyth, J. Gallacher, Jennifer C. Grant, Lindsey Griffin, Christina Guinnane, Keri Hollis, K. Kernaghan, Mary Kinninmonth, F. Mason, Gabriela Maxwel, P. McIntyre, Steve Mullay, Gayle Ridge, Joanna Taylor, Margaret Wilkieson, Elaine Wilson, D. Wishart","doi":"10.19043/IPDJ.111.002","DOIUrl":"https://doi.org/10.19043/IPDJ.111.002","url":null,"abstract":"Background: In contemporary health and social care services and systems, there is a critical need for nursing care that is agile in its delivery, integrated across sectors, responsive to complex need, and focused on prevention, self-care and wellbeing. Community nurses are at the centre of these services, working in and across a variety of complex systems that depend on the expertise they bring to individuals, communities and populations. However, ensuring this capability is brought to the forefront of quality frameworks is a challenge as care practices are often reduced to moments of interaction or intervention that are tangible and objectively measured. We know, though, that community nurses bring vital and wide-ranging expertise to the health of populations. The Queen’s Nursing Institute Scotland has re-established the Queen’s Nurse Development Programme to address these contemporary agendas and ensure the potential of expert community nursing is demonstrated and recognised. Aim: To engage in a participatory evaluation of the experience of the nine-month development journey of the 2019 Queen’s Nurse Development Programme participants. Methods: A Collaborative Critical Creative Inquiry (CCCI) methodology was used, operationalised through a five-phase inquiry process, informed by Theory U ‘presencing ’and its five movements for attending to and co-shaping reality to achieve presencing. Our embedded and embodied data-collection methods drew specifically on participants ’creative expressions, reflective diaries and journals, and project notes. Findings: The results of each phase of inquiry informed subsequent phases, culminating in a final phase (synthesis) where key themes representing the findings from all phases were derived. These themes were self-growth, community and practical impacts. Conclusion and implications for practice: The importance of slowing and stillness, linked to the spaces created for creative reflective learning and development has been significant in this programme. Being present to listen to self, and engage in self-care and self-growth is something the programme provides and that is highly valued. We would argue that if health systems are serious about the transformation of services and people, then these kinds of programmes are critical to success.","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":"11 1","pages":"1-18"},"PeriodicalIF":0.0,"publicationDate":"2021-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45120508","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":"We are creative – are you?","authors":"A. Caroline","doi":"10.19043/IPDJ.111.001","DOIUrl":"https://doi.org/10.19043/IPDJ.111.001","url":null,"abstract":"When thinking about this editorial, we knew we wanted to say something about creativity. Working creatively is a valuable means of accessing embodied knowledge and new insights about ourselves, our practice and our workplace cultures that can be used to inform development and transformation. However, being new to writing editorials, we first decided to have a look back through the journal’s editorial archives and seek the wisdom of previous authors. In doing so, it was interesting to see that our first Academic Editor, Professor Jan Dewing, had written an editorial about being creative back in May 2012;we encourage you to have a look. Jan began: ‘Yet again I recently heard someone saying they weren’t a creative person... ’and this is something we both experience when working with others. Is this because the word creativity is perceived to refer to the arts – for example, crafting, painting, movement and music – rather than a broader understanding, as suggested by the dictionary definition below: ‘The ability to transcend traditional ideas, rules, patterns, relationships, or the like, and to create meaningful new ideas, forms, methods, interpretations, etc.;originality, progressiveness, or imagination ’(dictionary.com). Taking this more expansive perspective opens up the possibility for us all to perceive ourselves as inherently creative. It could be argued that this creativity has come to the fore as we have adapted to new ways of living and working during the Covid-19 pandemic. While this crisis has brought huge uncertainty and challenge right across the complex mix of health and social care services, what has been remarkable is the ability people have shown to change their ways of working, to seek solutions – and to do so at pace. We believe this reflects the creative nature of human beings/persons. Oliver (2009) argues that creativity is everywhere, as humans and the world are constantly engaged in a process of making. He contends that we should view creativity as ‘openness’, which is person-oriented (Massey and Munt, 2009). In this way, we create the possibility for participatory exploration of the social, cultural and embodied context, and for improvisation and transformation, by engaging in people’s ‘interests, curiosities and passions ’(Massey and Munt, 2009, p 305).","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":"11 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2021-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41585879","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":"Calling time on the ‘dance of the blind reflex’: how collaborative working reduced older persons ’length of stay in acute care and increased home discharge","authors":"D. Donegan, S. P. Teeling, Martin J. McNamara, Edel McAweeney, Lynda McGrory, R. Mooney, Hse Ireland","doi":"10.19043/IPDJ.111.004","DOIUrl":"https://doi.org/10.19043/IPDJ.111.004","url":null,"abstract":"Background: A practice development project was undertaken with nurses from acute, older persons, primary care and rehabilitation services across two counties in the north east of the Republic of Ireland over a 12-month period in 2018-19. For acute hospital patients aged over 65 years, the average length of stay in 2017 was 44.44 days; for medical patients it was 55.69 days. The average length of stay on the pre-discharge unit was 36.5 days, after which 54% of patients transferred to nursing homes, 14% to rehabilitation services and 18% to home. Aims and objectives: The objectives were to provide a more person-centred, integrated approach to care across the services, to facilitate patient and family involvement in care planning and to understand why so few patients transferred home, with the aims of reducing lengths of stay in the acute hospital and increasing the number of patients going home. Methods: Person-centred and Lean Six Sigma approaches were combined. Lean Six Sigma provided the framework for data collection, analysis, planning and scheduling, while engagement within the team and with other colleagues, patients and their families was underpinned by person-centred principles. Results: The project resulted in an average reduction in length of stay on the pre-discharge unit of 16 days. More than 47% of patients are now being discharged home compared with 18% in 2017. Conclusion: A combination of Lean Six Sigma and person-centred approaches was used to shift from the status quo and transform care by implementing process changes that promoted better communication and facilitated a smoother transition for patients through the services. This combination was effective in promoting a culture that supports patients and their families to determine and achieve their preferred health outcomes. Implications for practice: Understanding culture and context within healthcare organisations is an essential part of practice development, especially in cross-service initiatives Creating a shared vision across all services that puts the patient at the centre of care supports patients and families to choose and achieve their care preferences Lean Six Sigma and person-centredness can be used in combination to design person-centred improvements that benefit staff, patients and their families","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":"11 1","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2021-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42668558","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":"Constructing a measure of balance recovery confidence for older persons: content themes from different stakeholders","authors":"Shawn Leng-Hsien Soh, F. Gilmour, J. Lane, Shalini Asokan, Kang Ling Woan, Chee-Wee Tan, Singapore Nanyang Polytechnic","doi":"10.19043/IPDJ.111.009","DOIUrl":"https://doi.org/10.19043/IPDJ.111.009","url":null,"abstract":"Background: The absence of patient-reported outcome measures (PROMs) for a specific construct or target population suggests a need for such measures to be developed. A case in point is the domain of falls efficacy; a PROM for balance recovery confidence was proposed to improve older persons ’agency to arrest a fall. Appropriate participation in its development by relevant stakeholders was identified as essential to maximise the utility of the PROM and its potential to enhance patient care. There is a gap in the practice development literature in terms of PROMs for older persons. This article aims to encourage researchers to use the principles of practice development to address this gap by involving relevant stakeholders to gain greater insight. Methods: The nominal group technique and the Delphi technique were used to generate and refine the content of the measure, and content analysis was applied to assess and summarise the data. Findings: Unique themes emerged, such as ‘agency of older people in the prevention of falls ’from the community-dwelling older adults in Singapore, and ‘clinical specificity ’from an international panel of healthcare professionals. Common themes including ‘relevance to the target population’, ‘comprehensibility ’and ‘cultural and contextual sensitivity ’were found in both groups. Conclusion: A collaborative, inclusive and participatory approach involving different stakeholders, underpinned by practice development methodology, can offer rich insights for PROM developers. Implications for practice: Meaningful perspectives are generated from a diversity of views shared by representatives from all stakeholder groups involved in caregiving Participation of different stakeholders, such as physiotherapists, occupational therapists, nurses, doctors, podiatrists and older persons, provides a more robust and authentic approach to developing a PROM for older persons","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":"11 1","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"2021-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43274618","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":"Implementing the PIE (Person, Interaction and Environment) programme to improve person-centred care for people with dementia admitted to hospital wards: a qualitative evaluation","authors":"A. Skingley, M. Godfrey, Rosemary Henderson, K. Manley, Rosemary Shannon, John Young, Bradford England Bradford Royal Infirmary","doi":"10.19043/IPDJ.111.005","DOIUrl":"https://doi.org/10.19043/IPDJ.111.005","url":null,"abstract":"Background \u0000Improving person-centred care for people with dementia in hospitals is a UK policy priority. The PIE (Person, Interaction, Environment) programme comprises cycles of observations of care by staff, identification of areas for improvement and plans for practice change and evaluation. The aim of the research reported here was to describe and evaluate PIE implementation in three UK NHS regions. \u0000 \u0000Methods \u0000A qualitative design was adopted in ten case study sites (wards). Site selection was based on readiness for change criteria. Following a training workshop, PIE cycles were introduced into each ward. Data collection comprised observation, interviews, documentary analysis and an events log. Normalisation Process Theory provided a guiding framework for analysis. \u0000 \u0000Results \u0000PIE was fully adopted in two study wards over 18 months, which resulted in sustained practice change and increased awareness of person-centredness. Partial implementation of PIE took place in a further two wards but progress stalled before significant action. The remaining six wards failed to implement PIE. Factors influencing implementation were: salience of PIE, collective team involvement, fit with strategic priorities, adequate resources, effective clinical leadership, good facilitation and organisational stability. \u0000 \u0000Conclusions \u0000PIE has the potential to help staff improve person-centred care for people with dementia admitted to hospital wards. However, the evidence is limited to ten wards of which only two fully implemented the programme. \u0000Implications for practice \u0000• A programme for improving person-centred care for people with dementia in acute hospital wards requires sustained commitment from both the organisation and the ward. \u0000• Successful practice change depends on multiple key factors, including effective clinical leadership and good facilitation. \u0000• Contextual factors at various levels of an organisation need to be considered. \u0000• Use of the PIE tool has the potential to enable staff’s attention to focus on person centred care for older people with dementia in acute settings.","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":"11 1","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2021-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45625868","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":"Co-researchers in motion: a journey of evolving relationships. A critical reflection on the co-operation between two older adults and a nurse researcher","authors":"J. Jukema, Netherlands Deventer, J. V. Alphen, J. Jorritsma, M. Snoeren","doi":"10.19043/IPDJ.111.011","DOIUrl":"https://doi.org/10.19043/IPDJ.111.011","url":null,"abstract":"Background: There is a growing amount of research in which older adults contribute as co-researchers. The quality of this research depends, among other factors, on the nature of relationships between professional researchers and co-researchers. Reflections on these relationships can offer structured insight into this form of research. Aim: Our reflection on the co-operation between two older adults and a nurse researcher aims to share the lessons learned based on a critical understanding of our journey. Our main questions are: 1. How has the relationship developed over time, including in terms of mutuality and equality? 2. Which moments have been decisive in this development? Conclusion: We regard our co-operative relationship as a ‘dynamic search’. The meaning of mutuality and equality may change over time and so enrich the relationships. There is a need for further understanding into how these values can be nurtured in different configurations of researchers and co-researchers. Implications for practice: Evolving relations can be nurtured through deliberative sharing of the perceptions, expectations and experiences of the researchers and co-researchers Combining a formal working atmosphere with informal moments helps the research team respond to the individual needs of its members To enhance equality and mutuality, it is important to appreciate and value everyone’s contribution rather than concentrating on ‘what ’or ‘how ’individuals contribute","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":"11 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2021-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42481435","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":"Evaluating the co-production of active ward principles in an inpatient setting: staff developments from using person-centred practice developmen","authors":"Juliet A. Harvey, Nhs Greater Glasgow, Glasgow Scotland Clyde, H. Cameron","doi":"10.19043/IPDJ.111.008","DOIUrl":"https://doi.org/10.19043/IPDJ.111.008","url":null,"abstract":"Background: In the acute hospital environment deconditioning is a major risk factor, with around 90% of the day spent sitting or lying down. A physiotherapy and occupational therapy Active Wards Special Interest Group was formed to provide peer support and act as a platform for sharing resources and ideas to increase opportunities for physical activity in the inpatient setting. Drawing on the nine principles of Practice Development, a person-centred, participatory approach was adopted. These values promote time and space for the team to grow and develop together, accounting for best evidence, personal and professional experience. The group co-produced a toolbox of resources, active wards principles and formed a group of experts to help others. Aim: To evaluate the experience of staff engaging in this work with the objective of learning from the experience and make recommendations for replication and continuation of the improvement process. Methods: Members of the special interest group and their team leads were invited to complete an online self-reporting questionnaire defining their experiences of participating in the group. Results: Engaging clinicians in improvement through person-centred practice development processes delivers benefits for patients, services and clinicians. Key findings for staff development were identified as significantly improved (response rate of 78%) through i) active learning principles used for meetings, ii) effective and diverse communication strategies, and iii) group cohesion by engaging in a practice-based initiative. Group members and team leads observed personal, professional and service development. Participants made new connections, had a sense of a common vision and felt part of a collaborative process where ideas and feedback were shared. Where changes in patient activity levels had been observed, at least two-thirds of teams attributed this to having a team member in the group. Conclusions and implications for practice: Clinicians require adequate time, space and support to achieve improvements When engaged with active learning and participatory approaches, clinicians make better use of meetings to develop and form principles of practice relevant to their clinical context and patient groups Engaging in person-centred practice development processes enables clinicians to develop transferable skills Practice development methods can be readily replicated for initiating and engaging clinicians in other practice-driven development projects","PeriodicalId":30387,"journal":{"name":"International Practice Development Journal","volume":"11 1","pages":"1-17"},"PeriodicalIF":0.0,"publicationDate":"2021-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44632191","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}