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Группа авторов. International Practice Development in Health and Social Care
Table of Contents
List of Tables
List of Illustrations
Guide
Pages
International Practice Development in Health and Social Care
List of contributors
Foreword. Navigating contemporary health and social care
Foreword. Compassionate leadership, teamworking and reflection in practice development
Acknowledgements
1. Transforming Health and Social Care Using Practice Development
Setting the scene at this time of high challenge
Practice development: its relevance to contemporary health and social care and crisis
Practice development: growing scope and impact from interprofessional collaboration and working with shared values
Developments since 2008 international edition
Living our values as editors and authors
The key concepts and structure of the book
Conclusion
References
2. Shaping Health Services Through True Collaboration Between Professional Providers and Service Users
Introduction
Examples of collaborative approaches
Case 1 Illawarra Ostomy Information Group
Knowledge building/sharing within the group
Sharing knowledge beyond the group
Contributing to professional education
Feedback from ostomates about being involved in the group
Case 2 Recovery courses in municipalities in western Norway
The course
Participants’ experiences
Facilitators’ experiences
Discussion
Conclusion
References
3. Turning Point: Curious Novice to Committed Advocate
Inclusivity, relatability, effectiveness – Ciaran’s Eureka
Building contextual readiness – Cathy’s nemesis and enlightenment
Engagement
Facilitation – Crystal’s unrecognised talent
Co‐production – collective ownership
Giselle’s experience with co‐production
Conclusion
References
4. Sustainable Person‐Centred Communities Design and Practice
Introduction
Case 1 Tobba’s story: Developing person‐centred relationships – the heart of a person‐centred community
Case 2 Mayur’s story: Developing systems leaders who are collective and person‐centred
Case 3 Sharon’s story: Commissioning and supporting systems‐wide person‐centred approaches to health and social care – the Esther Model
The litmus test – what are sustainable person‐centred communities?
Facilitating creative and brave practitioners – critical appreciation of sustainable person‐centred communities’ design and practice
Concluding remarks
References
5. Promoting Person‐Centred Care for Older People
Introduction
Illustrating the application of claims, concerns and issues
Case studies
Case study 1 Dementia and driving in Taiwan
Vignette 5.1 Driving and dementia scenario from Taiwan
Action plan: education project
Case study 2 Relationship care in nursing homes for people with dementia
Vignette 5.2 Moving to a nursing home
Claims: description of relationships and stakeholders
Concerns: factors that enable the relationship to work
Issues: challenges
Action plan: overview of the benefits for the client group and their evaluation
Case study 3 Trauma, complexity and person‐centred dementia care
Vignette 5.3 Considering trauma in dementia care
Claims: TIC is part of person‐centred care and benefits everyone
Concerns: nursing home providers and staff are not aware of trauma‐informed care
Issues: integrating TIC into person‐centred aged care
Action plan: what are the benefits of trauma‐informed care and how will we know?
International, cross‐setting and interdisciplinary learning
Conclusion and implications for undertaken practice development in aged care services
References
6. Education Models Embedding PD Philosophy, Values and Impact – Using the Workplace as the Main Resource for Learning, Developing and Improving
Introduction
Case study 1: The value of integrating a person‐centred curriculum. Background
Implementation of a person‐centred curriculum
Aspects of a person‐centred curriculum
Conceptual framework
Co‐design
Active learning
Critical thinking and reflection
Case study 2: Place‐based learning
Primary care demands/population needs
Box 6.1 Co‐created purpose of PBL across PCNs
Box 6.2 PCN mnemonic
Box 6.3 PBL definition and benefits
Facilitation strategies
Enabling a good learning environment
Recognising a good learning environment
Outcomes of a good learning environment
Measuring the impact of CPD in the workplace
Box 6.4 Definition of CPD
Theory 1 transformation of an individual’s professional practice through CPD
Theory 2 transformation of skills to meet society’s changing healthcare needs through CPD
Theory 3 transformation of knowledge enabling knowledge translation through CPD
Theory 4 transformation of workplace culture/context to implement workplace and organisational values and purpose relating to person‐centred, safe and effective care through CPD
Summary and conclusion
References
Notes
7. Critical Ethnography: A Method for Improving Healthcare Cultures in Practice Development and Embedded Research
Introduction
Critical ethnographer as an embedded researcher
Introducing two case studies
Case study 1 Communication practice change in a metropolitan Australian inpatient aged care setting
Case 1 Some summary characteristics of the case study
Case study 2 Changes in service delivery in a UK hospital
Case 2 Some summary characteristics of the case study
Critical ethnography: a method for discovering ‘hidden’ practices and an avenue for practice development
Internal–external partnership in practice development
Positionality of the embedded ethnographer in practice development
Conclusion
References
8. A Global Manifesto for Practice Development: Revisiting Core Principles
Introduction
Revising the PD principles through a stakeholder review process
Emergent themes. Theme 1: Accessible language
Theme 2: Ordering the principles
Comparing the 2008 PD principles with the revised 2020 PD principles
Box 8.1 Revised statement
Box 8.2 Revised statement
Box 8.3 Revised statement
Box 8.4 Revised statement
Box 8.5 Revised statement
Box 8.6 Revised statement
Box 8.7 Revised statement
Box 8.8 Revised statement
Practice development principles: a global manifesto
Conclusion
References
9. Theorising Practice Development
Introduction
Theoretical origins
Working with the ‘critical’ in critical reflection
Connecting through crisis: critical social science and person‐centredness in PD research
Theory in action: a bicultural perspective
Reflecting on the future of theory and practice development
Invited commentary – Dr Deborah Baldie
References
10. Unpacking and Developing Facilitation
Introduction
Unpacking facilitation – an overview
Internal to the facilitator
Inside your own head
Walking a fine line
Being me
External to the facilitator
A lens on facilitation
Making sense of theory
Enacting transformational facilitation
Being fluid
Understanding people in context
Embodying facilitation
Facilitator development – developing person‐centred facilitators
‘Developing Person‐centred facilitators’: initial programme
Evidence of facilitator development
Box 10.1 Programme intentions
Box 10.2 Examples of tools to promote participation
Facilitator development – moving to advanced facilitation
Advanced facilitation course
Box 10.3 Learning outcomes
Box 10.4 Learning outcome examples
Box 10.5 Example day 3 programme
Evaluation
Advanced facilitation take‐home message
Conclusion
References
11. Re‐Imagining Participation in Processes of Facilitation: a Case for ‘Humble Assertiveness’
Introduction
The process of facilitation – case examples. Case 1 Facilitation in an interdisciplinary team – creating a collaborative environment
Case 2 Facilitation among peers – collaboration in the facilitation process
Case 3 Facilitation in a cross‐sectorial group – collaboration to achieve system‐level collaboration
The complexity of facilitation – achieving meaningful participation
A commonality: culture
A commonality: participation
An approach towards facilitation: humble assertiveness
References
12. Leadership Relationships
Introduction
Relational leadership
Relational connectedness
Person‐centred leadership framework
Guiding lights of leadership
Guiding light 1 ‘The light between us as interactions in our relationships’
Guiding light 2 ‘Seeing people’s inner light’
Guiding light 3 ‘Kindling the spark of light and keeping it glowing’
Guiding light 4 ‘Lighting up the known and the yet to be known’
Guiding light 5 ‘Constellations of connected stars’
Leadership development strategies that enable effective workplace cultures
‘Effective Leadership in Health’ subject
Learning approaches
Translation of learning
Articulation of learning to practice
Conclusion
References
Note
13. From Fractured to Flourishing : Developing Clinical Leadership for Frontline Culture Change
Introduction
Background
Case study 1 Stepping up to unexpected expansion – a hospital medical ward
The case studies
Case study 2 Transformation from the ground up – a public pathology service
Case study 3 Integrating values and vision for change – a hospital‐based allied health service
Case study 4 Utilising strategies and tools for growth that works – a community child and adolescent service
Case study 5 The culture club story of change after trauma – an extended care older persons’ mental health service
Discussion
Box 13.1 Simple rules: CLP and clinical leadership leading to flourishing workplace cultures
Conclusion
References
14. Systems Leadership Enablement of Collaborative Healthcare Practices
Introduction
Developing systems leadership and management capability using facilitated learning
Keeping people focused with increasingly complex healthcare systems
Systems leadership and workforce factors influencing transformation
The role of facilitative leadership in improving care for older people across the system
Conclusion
References
Appendix 14.1 Appendix
References
Notes
15. Recognising and Developing Effective Workplace Cultures Across Health and Social Care that are Also Good Places to Work
What is workplace culture and why is it important?
Background to collaborative inquiry
Developing ‘guiding lights’ through collaborative inquiry
Guiding light 1 Collective leadership
Guiding light 2 Living shared values
Guiding light 3 Safe, critical, creative, learning environments
Guiding light 4 Change for good that makes a difference
What were the drivers for improvement?
What were the outcomes?
What did you learn?
What would you do differently in the future?
Conclusion
References
16. Wellbeing at Work
Introduction
What is wellbeing?
Flourishing
Why wellbeing matters at work
Case study 1 IMAGINE – a wellbeing programme for healthcare staff
Dissemination and sustainability
Case study 2 A better place
Box 16.1 What mattered to staff
Box 16.2 Overview of the strategy
Key moments on the journey
Launching the Wellbeing Strategy
Recognising the person and celebrating their achievements
Box 16.3 Linking the wellbeing strategy to the features of practice development
Knowing what matters
Enhanced communication opportunities
Access to education
Living our values
Key insights
Conclusion
References
Notes
17. Flourishing People, Families and Communities
What is community flourishing?
Facilitating community engagement and development using practice development principles
Empowering citizens and communities to flourish through participatory research methods
Case study 1 Family involvement in practice improvement through action research in a hospital setting (Alomari et al. 2017)
Case study 2 Enabling flourishing of people in healthcare settings through measurable indicators – an international collaborative community of research practice (McCance et al. 2020)
Conclusion
References
Notes
18. Practice Development – Towards Co‐Creation, Innovation and Systems Transformation to Foster Person‐Centred Care
Introduction
Societal challenges for a new decade
Practice development and person‐centred care
Box 18.1 Using social prescribing to promote community resilience and wellbeing (Howarth et al. 2020)
Practice development and user involvement through co‐creation
Practice development and innovation
Practice development and system approaches
PD: enabling through leadership and facilitation
Practice development beyond methods and a new global manifesto for PD
Box 18.2 Revised PD principles derived from a global manifesto (Chapter 8)
New directions through the International Practice Development Collaborative (IPDC)
Q1 Who are the up‐and‐coming practice developers in your area?
Q2 What professions (and consumers) do you currently engage in PD work?
Q3 What areas of PD should we be focusing on in the coming years?
Q4 What is one thing you would like to celebrate in relation to PD?
Conclusion
References
Index
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