facilitating a partnership approach to the development of nursing strategy the journey to developing...
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Facilitating a Partnership Approach to the Development of
Nursing Strategy
The Journey to Developing a Strategy for Nursing and Midwifery
in United Hospitals Trust Using Consensus Methodology
Improving Patient Experience and Care through Practice and Quality ImprovementNIPEC Conference, 27th March 2007Hilton Templepatrick Hotel
Facilitating a Partnership Approach to the Development of Nursing Strategy
United Hospitals Trust• 850 Beds• 5 Sites
– Antrim Area Hospital• Braid Valley Hospital (54beds)
– Whiteabbey Hospital• Moyle Hospital (45 Beds)
– Mid-Ulster Hospital
• 1500 Nurses
Improving Patient Experience and Care through Practice and Quality ImprovementNIPEC Conference, 27th March 2007Hilton Templepatrick Hotel
Facilitating a Partnership Approach to the Development of Nursing Strategy
• Consensus Methodology– Encourage the participation of all nurses
and midwives in the Trust– Encourage ownership of the strategy by
Nurses
• Facilitation by Senior Professional Officers NIPEC– Experience of using consensus
methodology in the “Using and Doing Research – Guiding the Future”
Improving Patient Experience and Care through Practice and Quality ImprovementNIPEC Conference, 27th March 2007Hilton Templepatrick Hotel
Facilitating a Partnership Approach to the Development of Nursing Strategy
4 Stages
• Stage 1 – Developing a Shared Vision
• Stage 2 – Identifying Priorities through a Trust wide survey
• Stage 3 – Refining Priorities and Action Planning
• Stage 4 – Developing the Strategy
Improving Patient Experience and Care through Practice and Quality ImprovementNIPEC Conference, 27th March 2007Hilton Templepatrick Hotel
Facilitating a Partnership Approach to the Development of Nursing Strategy
Stage Date Activity Numbers Attending
Stage 1 Sept 2005 Workshop 22
Stage 2 Oct 2005 Survey 1500
Stage 3 Nov 2005 Consensus Workshop
42
Stage 4 Jan 2006 Action Planning 16
Strategy Launch
March 2006 Trust Conference 100
Improving Patient Experience and Care through Practice and Quality ImprovementNIPEC Conference, 27th March 2007Hilton Templepatrick Hotel
Facilitating a Partnership Approach to the Development of Nursing Strategy
Developing a Shared Vision• Values Clarification
– 8 strategic themes• Providing a quality service• Delivering effective person centred care• Providing a supportive environment for staff• Providing effective communication at all levels• Supporting education and learning• Developing leadership• Managing change• Promoting effective teamwork
Improving Patient Experience and Care through Practice and Quality ImprovementNIPEC Conference, 27th March 2007Hilton Templepatrick Hotel
Facilitating a Partnership Approach to the Development of Nursing Strategy
Vision Statement
….to foster a culture in which nurses and midwives work in partnership to
provide high quality care that reflects the needs and views of individuals
Improving Patient Experience and Care through Practice and Quality ImprovementNIPEC Conference, 27th March 2007Hilton Templepatrick Hotel
Facilitating a Partnership Approach to the Development of Nursing Strategy
Vision Statement• Dull• Not easily understood• No focus on valuing nurses and
midwives• Feels like it stands still• In partnership with whom?• Whose needs does it reflect?
Improving Patient Experience and Care through Practice and Quality ImprovementNIPEC Conference, 27th March 2007Hilton Templepatrick Hotel
Facilitating a Partnership Approach to the Development of Nursing Strategy
Vision Statement• Tool developed– 29 statements rated
against a 5 point likert type scale
• 8 Strategic themes
• A number of objective statements
Improving Patient Experience and Care through Practice and Quality ImprovementNIPEC Conference, 27th March 2007Hilton Templepatrick Hotel
Facilitating a Partnership Approach to the Development of Nursing Strategy
Identifying Strategic Priorities• Response rate of 33%
• Consensus workshop - Refining of strategic priorities
• One - day workshop – 42 participants
Improving Patient Experience and Care through Practice and Quality ImprovementNIPEC Conference, 27th March 2007Hilton Templepatrick Hotel
Facilitating a Partnership Approach to the Development of Nursing Strategy
Consensus Workshop• Further refine the prioritisation of statements
• Rank top 10 statements
• Rank their top 5 statements
• Top 12 statements
• Areas of commonality and duplication
Improving Patient Experience and Care through Practice and Quality ImprovementNIPEC Conference, 27th March 2007Hilton Templepatrick Hotel
Facilitating a Partnership Approach to the Development of Nursing Strategy
Themes• Promoting effective communication at
all levels
• Developing supportive leadership and management
• Supporting learning and education
• Providing a quality service
Improving Patient Experience and Care through Practice and Quality ImprovementNIPEC Conference, 27th March 2007Hilton Templepatrick Hotel
PATIENT
Learning &DevelopmentLearning &
Development
CommunicationCommunicationCommunicationCommunication
LeadershipLeadershipQuality Patient-centredCare
Quality Patient-centredCare
Improving Patient Experience and Care through Practice and Quality ImprovementNIPEC Conference, 27th March 2007Hilton Templepatrick Hotel
Facilitating a Partnership Approach to the Development of Nursing Strategy
Developing the Strategy
• Senior Nurse Forum – Nursing Executive (16)
• Modified Consensus Approach– 4 Groups– Refine draft actions for each theme– Each theme considered by each group to
build on the consensus
Improving Patient Experience and Care through Practice and Quality ImprovementNIPEC Conference, 27th March 2007Hilton Templepatrick Hotel
Facilitating a Partnership Approach to the Development of Nursing Strategy
Reflections of Workshop Participants• Hard work, but interesting;• Positive and proud;• I have heard this all before but I am still hopeful
for the future of nursing;• I feel valued by the Trust by being involved in the
strategy document;• Exciting to be involved in a project that impacts
on our Trust;• Harder than a day’s work.
Improving Patient Experience and Care through Practice and Quality ImprovementNIPEC Conference, 27th March 2007Hilton Templepatrick Hotel
Facilitating a Partnership Approach to the Development of Nursing Strategy
Strategy development underpinned by emancipatory practice development methodology, set within a philosophy of critical social science
- focuses on achieving sustainable change through practice enlightenment, empowerment
and emancipation
Improving Patient Experience and Care through Practice and Quality ImprovementNIPEC Conference, 27th March 2007Hilton Templepatrick Hotel
Facilitating a Partnership Approach to the Development of Nursing Strategy
Shared Governance approach to decision making
• Model of participation and engagement• Vehicle to operationalise the key themes of the
strategy• Strengthen leadership and involve staff at all
levels of the organisation through a decentralised style of management
• Gives nurses greater authority and control over their practice and work environment
• Engenders a sense of responsibility and accountability
Improving Patient Experience and Care through Practice and Quality ImprovementNIPEC Conference, 27th March 2007Hilton Templepatrick Hotel
Facilitating a Partnership Approach to the Development of Nursing Strategy
Trust Nursing Council
• Clinical Practice Council• Learning and Development Council• Service Improvement Council