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Conclusion

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All four authors have described a turning point with engagement in the methodology and philosophy of PD. We accidently or inadvertently fell upon PD when we were in search of answers to how we could improve the quality and safety of maternity care. We are now committed advocates of the process and believe in the crucial adoption of PD for supporting effective change. Our experiences were not limited by clinical discipline or professional position, by health service or boundaries of nations. This fact convinced us that with the right tools, contextual readiness, authentic willingness to engage in the process and seizing available opportunity, PD could be used in any setting and be effective for any change process regardless of the specifics of the change.

We were curious novices who had a desire to implement change that could embed evidence into practice that could make a measurable difference to maternity outcomes that could engage the intrinsic motivation of teams that would sustain improvements over time and would create a culture of continuous inquiry. We found this in PD, and we encourage you to explore this for yourself.

You may not yet be familiar with the methodology of PD. What you may have is recognition of opportunities for improvement in clinical practices, you may have some specific concerns with teamwork or organisational practices and don’t know what to do or where to go, or you may be curious about other ways of working or being. We encourage you to have the courage to explore PD as a way of transforming the here and now. PD has been the turning point in our transformation, and it could be for you; are you ready for the challenge?

‘We often set out to make a difference in the lives of others only to discover we have made a difference to our own’

(Ellie Braun‐Haley, Canadian author)

International Practice Development in Health and Social Care

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