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 Improvement NIPEC Conference, 27 th March 2007 Hilton 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 Improvement NIPEC Conference, 27 th March 2007 Hilton 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 Improvement NIPEC Conference, 27 th March 2007 Hilton 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 Improvement NIPEC Conference, 27 th March 2007 Hilton Templepatrick Hotel Facilitating a Partnership Approach to the Development of Nursing Strategy StageDateActivityNumbers Attending Stage 1Sept 2005Workshop22 Stage 2Oct 2005Survey1500 Stage 3Nov 2005Consensus Workshop 42 Stage 4Jan 2006Action Planning16 Strategy Launch March 2006Trust Conference100

Improving Patient Experience and Care through Practice and Quality Improvement NIPEC Conference, 27 th March 2007 Hilton 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 Improvement NIPEC Conference, 27 th March 2007 Hilton 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 Improvement NIPEC Conference, 27 th March 2007 Hilton 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 Improvement NIPEC Conference, 27 th March 2007 Hilton 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 Improvement NIPEC Conference, 27 th March 2007 Hilton 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 Improvement NIPEC Conference, 27 th March 2007 Hilton 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 Improvement NIPEC Conference, 27 th March 2007 Hilton 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 Improvement NIPEC Conference, 27 th March 2007 Hilton Templepatrick Hotel PATIENT Learning & Development CommunicationCommunication Leadership Quality Patient-centred Care

Improving Patient Experience and Care through Practice and Quality Improvement NIPEC Conference, 27 th March 2007 Hilton 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 Improvement NIPEC Conference, 27 th March 2007 Hilton 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 Improvement NIPEC Conference, 27 th March 2007 Hilton 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 Improvement NIPEC Conference, 27 th March 2007 Hilton 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 Improvement NIPEC Conference, 27 th March 2007 Hilton 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