Person-centred Practice Research Centre: Work Strands
The Provision Of Care
To Older People
Person-centred
Practice
Development
Methodology
Development

 Focuses on implementation studies in collaboration with partner organisations for the purposes of promoting person-centredness in practice
 Developing and testing methodological approaches in this area

What is Practice Development?
 a systematic approach which aims to help practitioners and healthcare teams to look critically at their practice and identify how it can be improved.
 Its purpose is to develop effective workplace cultures that have embedded within them person centred processes, systems and ways of working.
 Skilled facilitators help frontline staff to get underneath the surface of daily routine, to critically reflect on the values and beliefs they hold about patient care.
 Teams are challenged to consider if the behaviours, systems and processes used in practice are consistent with person centred values and what needs to be changed.
 Develops evidence from practice, and implements evidence into practice.
 Achieves sustainable change through its focus on continuous learning in practice .

 PD is ‘micro-system’ oriented and context specific.
 PD works with individuals and teams to:
• engage with a shared vision
• create links with their own aspirations
• translate complex organisational and strategic agendas into practice reality
• make sense of complex forms of evidence
• become clear about what constitutes person centred care.
• move the energy that would otherwise have been expended in conflictual agendas and resistance towards shared agendas.
• facilitate the system as a whole to re-engage with the untapped potential lying within the healthcare workforce and their patients.

(Garbett & McCormack, 2003)

(McCormack & McCance 2010)

CARE
ENVIRONMENT
The context in which care is delivered
PREREQUISITES
Attributes of the nurse
CARE PROCESSES
Delivering care through a range of activities
OUTCOMES
Results of effective person-centred nursing

 To promote an understanding of personcentred care
 To analyse barriers to change
 As an aid for reflection
 To focus the implementation and evaluation of developments in practice
 To inform strategy

“Developing person-centredness is at the heart of practice development and despite much policy and strategic rhetoric, practice development continues to be the only methodology that has the development of person-centredness as its primary purpose and which recognises that personcentredness is not developed through one-off change events.
Instead, it needs continuous reflective and critical
relationships to be developed and sustained over time.”
(McCormack 2008, p.161)

 The NHS and all who work for it must adopt and demonstrate a shared culture in which the patient is the priority in everything done. This requires:
 A common set of core values and standards shared throughout the system;
 Leadership at all levels from ward to the top of the Department of
Health, committed to and capable of
 involving all staff with those values and standards;
 A system which recognises and applies the values of transparency, honesty and candour;
 Freely available, useful, reliable and full information on attainment of the values and standards;
 A tool or methodology such as a cultural barometer to measure the cultural health of all parts of the system.

‘Paediatric International Nursing Study
(PINS) - embedding Key Performance
Indicators into Paediatric Practice’
‘Developing Person-centred Cultures in
BHSCT’
Rose Kelly, Manager, Acute
Paediatrics & Neonatology, SET
Tanya McCance and Participants from the Belfast Trust Personcentred Practice Programme
'Caring for the carers - working in partnership to achieve person centred care'.
Annemarie Tunney, NHSCT
Person Centred Practice in Emergency Care
– what are the challenges?
Donna McConnell and Vidar
Melby.