Foundation of Nursing Studies in partnership with the Burdett Trust for Nursing

Patients First: Supporting nurse led innovation in practice

Workshop 4

Overview of Workshop 4Today we will explore how the following:

Person centerednessFor ourselvesEnabling teamsEnabling culturesAction planning for the next steps

Person centred Cultures for

human flourishing

Active

Learn

ing

in

and fr

om

practice

Systematic

Approaches to

the use of

mind, heart and

creative energies

Practice Development Model

Mc Cormack and McCance ( 2010)

Person Centredness“ a standing or status that is bestowed upon one human being by others, in the context of a relationship and social being. It implies recognition, respect and trust”

Kitwood (1997)

Person Centred Care“Person centredness is an approach to practice

established through the formation and fostering of therapeutic relationships between all care providers, older people and others significant to them in their lives. It is underpinned by values of respect for persons, individual right to self determination, mutual respect and understanding. It is established by cultures of empowerment that foster continuous approaches to practice development”

McCormack et al 2008

Reflection – How person centred am I?Each person has his/her own and unique life,

his own memories, hopes, expectations, habits and biases. Each has had a responsibility in the management of his/ her own life….. Each has found support, reinforcement, guidance and correction from loving and perception of others: and each has suffered at the hands of others”

Weinberg ( 1978)

Person-centred Nursing Framework(McCormack & McCance 2006)

  

Johari awareness model

1 2

3 4

Known to self Unknown to self

Known to others

Unknown to others

Encouraging styleSharingReinforcingEncouragingPraising

Supporting styleTurning or mulling

overLeaving aloneLetting goBeing available

Coaching styleInvolvingExplainingCollaboratingNegotiating

Directing styleInitiatingStructuringTellingGuiding

Situational Facilitation

Hersey and Blanchard, 1996

Heron’s InterventionsAUTHORITATIVE

Prescriptive: - For example, ‘I would like you to discuss this issue with your senior colleagues’

Informative: For example, Grants are often made available for this type of work’

Confronting: - For example, ‘I notice this is the third time we have talked about this – and you have still not been able to act – I wonder what is going on?

FACIILITATIVE Cathartic: For example – ‘I notice that whenever you speak about your research you look

rather anxious’.

Catalytic: For example – ‘Tell me about a previous time when you had to work with a colleague who you found particularly challenging …… how did you deal with that?

Supportive: For example – ‘It sounds like you handled that in a very mature and confident way’.

Critical CompanionshipFacilitation DomainConscious raising-bringing taken for granted knowledge to the surfaceProblematisation- Highlighting problems in issues where they are previously unrecognisedSelf Reflection-Facilitating this in practitionersCritique- Forming new knowledge and critically reviewing it through debate

CC- strategiesStory telling- Sharing craft knowledgeObserving, listening, questioningGiving and receiving feedback

Critical dialogueRole modelingHigh challenge /High Support

Making suggestions

Where feedback has been offered and received.

Known to self Unknown to self

Known to others

Unknown to others

1 2  

3 4

Enabling person centred cultures?

Next Steps…

Thank you for participating

Have a safe journey

www.fons.org