Leading Better Care - Delivering for Patients
Leading Better Care enables Senior Charge Nurses / Midwives and Team Leaders to deliver better care in consistent, measurable, evidence based way
To achieve this vision, the following aims and objectives have been agreed:
LBC Aims
- All Senior Charge Nurses, Senior Charge Midwives and Team Leaders will be working in the context of the LBC components:
- To ensure safe and effective clinical practice
- To enhance the patients experience
- To manage and develop the performance of the team
- To ensure effective contribution to the delivery of the organisations objectives
by March 2013 and able to demonstrate this.
- Nurses & Midwives will be able to demonstrate the contribution they make to the quality and experience of care that patients receive under the three themes by March 2013:
- Safe
- Effective
- Person centred
Enabling and Sustaining Change
Enabling and sustaining change is at the heart of practice development. Creative and innovative ways of engaging and motivating colleagues are central to this.
Key questions
- Who will the change affect - directly and indirectly?
- What are the drivers and barriers to change?
- Who needs to be involved, consulted, informed?
- To what extent will contextual and cultural factors such as team dynamics or differences in approach between departments affect the success of change?
- How can I develop a shared vision?
Consider
- Stakeholder analysis – identifying all those affected by change
- Influencing skills
- Identifying cultural issues
- Reflective activities
- Critical companionship
- Learning from other initiatives
- Master classes/workshops
- Action learning sets
- Appreciative enquiry – emphasising positive learning points
- Solutions-based approach
- Appropriate facilitation
- Indicators of success
- Team values
- Team dynamics
- Interventions to reinforce and embed change
Organisational support
Board leaders can support sustained change through:
- A culture of openness and transparency
- Staff at all levels involved through partnership working
- A system for communication of good practice development projects
- Clear organisational goals in respect of quality
- Co-ordination of activity across projects
- National and local initiatives within a coherent operational plan
- A financial infrastructure to support development of practice and associated education
- An integrated approach, involving service-led change, is underpinned by relevant practice development activity
Lucie McAnespie, Speech and Language Therapist, East Lothian and Midlothian.
Lucie emphasises the importance of sharing experiences and communicating with people in enabling and sustaining change.
She was involved in a project to promote person-centred care in care homes. Previous approaches to change – for example, based on skills teaching – had not sustained success. Lucie believes that adopting a practice development approach provided a nurturing environment that enabled and sustained change.
“Working together, sharing our stories and experiences, really helped us to speak freely and honestly,” she says.
“It helped us to reaffirm our values and apply them to the project. It also gave us the confidence to go out and try different approaches.”
“We all learned from each other and made a point of providing positive feedback,’ she continues. ‘Guided reflection and supervision took place away from the workplace, giving us time out to reflect on what we were trying to achieve.”
April 2009
Click on the link link below to conduct a search within the Evidence into Practice portal.
Please be aware that you will receive a set of search results, not a definitive list of literature relating to enabling and sustaining change.
Literature search:
