Practice development: Realising active learning for sustainable change
Brendan McCormack
Nursing Research, School of Nursing, University of Ulster, Jordanstown, Northern Ireland
Jan Dewing
Honorary Research Fellow, University of Ulster; University of Wollongong, Wollongong NSW
Liz Breslin
Nursing / Midwifery Planning and Development Unit (HSE North West), Donegal, Republic of Ireland
Ann Coyne-Nevin
St Patrick's Hospital / Nursing / Midwifery Planning and Development Unit (HSE South East), Waterford, Republic of Ireland
Kate Kennedy
Nursing and Midwifery Planning and Development Unit (HSE South), Cork, Republic of Ireland
Mary Manning
Older Persons Services, Nursing / Midwifery Planning and Development Unit (HSE Mid-Leinster), Offaly, Republic of Ireland
lorna Peelo-Kilroe
Older Persons Services, Nursing / Midwifery Planning and Development Unit (HSE West), Limerick, Republic of Ireland
Catherine Tobin
Centre for Nursing and Midwifery Education / Nursing / Midwifery Planning and Development Unit (HSE North East), Ardee, Republic of Ireland
PP: 92 - 104
Abstract
This paper explores the concept of practice development in the context of professional development and strategies for facilitating learning in practice.
In this paper we present the background to the methodology of emancipatory and transformational practice development. Key concepts underpinning a contemporary definition of practice development are unravelled and nine principles for effective practice development proposed. An example of a large-scale national practice development programme with older people residential settings in the Republic of Ireland is presented to illustrate the processes in action.
The findings of the first year of the programme are offered and these findings demonstrate the ways in which practice development systematically uncovers the deeply embedded characteristics of practice cultures - characteristics that often inhibit effective person-centred practice to be realised.
Keywords
practice development, active learning, evaluation, change, facilitation
References
Bellman L (2003) Nurse led change and development in clinical practice. Whurr Publishers Ltd, London.
Bellman L, Bywood C and Dale S (2003) Advancing working and learning through critical action research: Creativity and constraints. Nurse Education in Practice 3(2): 186-194.
Berg GV, Sarvimäki B and Hedelin B (2006) Hospitalized older peoples' views of health and health promotion, International Journal of Older People Nursing 1(1): 25-33.
Bryar RM and Griffiths JM (2003) Practice development in community nursing; Principles and processes. Arnold, London
Clarke CL and Wilcockson J (2002) Seeing need and developing care: exploring knowledge for and from practice. International Journal of Nursing Studies 39(4): 397-406.
Dewing J (2004) Concerns relating to the application of frameworks to promote person-centredness in nursing with older people, International Journal of Older People Nursing 13(3a): 39-44.
Dewing J (2008a) Becoming and Being Active Learners and Creating Active Learning Workplaces: The Value of Active Learning. In Manley K, McCormack B and Wilson V (eds) International Practice Development in Nursing and Healthcare 15: 273-294, Oxford Blackwells.
Dewing J (2008b) Implications for nurse managers from a systematic review of practice development. Journal of Nursing Management 16: 134-140.
Fink DL (1999) Active Learning. Accessed May 2009 http://honolulu.hawaii.edu/intranet/committees/FacDevCom/guidebk/teachtip/active.htm.
Garbett R and McCormack B (2002) A Concept Analysis of Practice Development. NT Research 7(2): 87-100.
Garbett R and McCormack B (2004) A Concept Analysis of Practice Development, in McCormack B, Manley K and Garbett R, Practice Development in Nursing. Blackwell, Oxford, pp.10-32.
Health Information and Quality Authority (HIQA) (2007) National Quality Standards for Residential Care Settings for Older People in Ireland, Health Information and Quality Authority (HIQA), Dublin, Republic of Ireland. Accessed 18/12/2008 http://www.hiqa.ie/functions_shss_standards_residential_care.asp.
Heron J and Reason P (2001) The Practice of Co-operative Inquiry: Research 'with' rather than 'on' People, in Reason P and Bradbury H (Eds) Handbook of Action Research, London: Sage.
Hsu M and McCormack B (2006) Using older peoples' stories to inform service Development. Final Report. The BUPA Foundation, London.
Johnson G and Scholes K (1984) Exploring Corporate Strategy. Prentice-Hall, Englewood Cliffs NJ.
Manley K (2001) Consultant Nurse: Concept, Processes, Outcomes. University of Manchester/RCN Institute, London.
Manley K (2004) Transformational Culture: A Culture of Effectiveness, in McCormack B, Manley K and Garbett R (2004) Practice Development in Nursing. Blackwell, Oxford, pp.51-82.
Manley K and McCormack B (2004) Practice development: Purpose, methodology, facilitation and evaluation, in McCormack B, Manley K and Garbett R, Practice Development in Nursing. Blackwell, Oxford, pp.33-50.
Manley K, McCormack B and Wilson V (2008) Introduction, in Manley K, McCormack B and Wilson V (2008) (eds) Practice Development in Nursing: International Perspectives. Blackwell Publishing, Oxford, pp.1-16.
McCormack B (2001) Negotiating Partnerships with Older People - A Person-Centred Approach. Ashgate, Basingstoke.
McCormack B (2004) Person-centredness in gerontological nursing: An overview of the literature, International Journal of Older People Nursing 13(3a): 31-38.
McCormack B, Kitson A, Harvey G, Rycroft-Malone J, Titchen A and Seers K (2002) Getting Evidence into Practice: The Meaning of 'Context'. Journal of Advanced Nursing 38(1): 94-104.
McCormack B, Manley K and Garbett R (eds) (2004) Practice Development in Nursing. Blackwell Publishing, Oxford.
McCormack B and McCance T (2006) Development of a framework for person-centred nursing. Journal of Advanced Nursing 56(5): 1-8.
McCormack B and Titchen A (2006) Critical Creativity: Melding, Exploding, Blending. Educational Action Research 14(2): 239-266.
McCormack B, Wright J, Dewer B, Harvey G and Ballintine K (2007a) A realist synthesis of evidence relating to practice development: Recommendations. Practice Development in Health Care 6: (1) 76-80.
McCormack B, Wright J, Dewer B, Harvey G and Ballintine K (2007b) A realist synthesis of evidence relating to practice development: Interviews and synthesis of data. Practice Development in Health Care 6(1): 56-75.
McCormack B, Wright J, Dewer B, Harvey G and Ballintine K (2007c) A realist synthesis of evidence relating to practice development: Findings from the literature review. Practice Development in Health Care 6(1): 25-55.
McCormack B, Wright J, Dewer B, Harvey G and Ballintine K (2007d) A realist synthesis of evidence relating to practice development: Methodology and methods. Practice Development in Health Care 6(1): 5-24.
McCormack B, Manley K and Walsh K (2008) Person-centred systems and processes, in Manley K, McCormack B and Wilson V (eds) (2008) International Practice Development in Nursing and Healthcare. Blackwell, Oxford, pp.17-41.
McCormack B, McCarthy G, Wright J, Slater P and Coffey A (2009) Development and testing of the context assessment index, Worldviews on Evidence Based Nursing 6(1): 27-35.
McCormack B, Henderson E, Wilson V and Wright J (2009) The Workplace Culture Critical Analysis Tool, Practice Development in Healthcare 8(1): 28-43.
McIntosh P (2008) Poetics and space: Developing a reflective landscape through imagery and human geography. Reflective Practice 9(1): 69-78.
Page S, Allopp D and Casley S (1998) The Practice Development Unit: An experiment in multidisciplinary innovation. Whurr Publishers Ltd, London.
Pawson R, Greenhalgh T, Harvey G and Walshe K (2004) Realist synthesis: An introduction: RMP Methods Paper 2/2004. Centre for Census and Survey Research, University of Manchester, Manchester.
Rycroft-Malone J, Seers K, Titchen A, Harvey G, Kitson A and McCormack B (2003) What counts as evidence in evidence-based practice. Journal of Advanced Nursing 47(1): 81-90.
Shaw T, Dewing J, Young R, Devlin M, Boomer C and Leguis M (2008) Enabling Practice development: Delving into the concept of facilitation from a practitioner perspective. In Manley K, McCormack B and Wilson V (eds) International Practice Development in Nursing and Healthcare 9: 147-169, Oxford Blackwells.
Slater P and McCormack B (2007) An exploration of the factor structure of the Nursing Work Index, Worldviews on Evidence-Based Nursing 4(1): 30-39.
Titchen A (2001) Skilled Companionship in Professional Practice, in Higgs J and Titchen A (2001) Practice Knowledge and Expertise in the Health Professions. Butterworth-Heinemann, Oxford.
Titchen A (2004) Helping Relationships for Practice Development: Critical Companionship, in McCormack B, Manley K and Garbett R (eds) Practice Development in Nursing, Blackwell Publishing, Oxford, pp.148-174.
Titchen A and McCormack B (2008) A Methodological Walk in the Forest: Critical Creativity and Human Flourishing, in Manley K, McCormack B and Wilson V (eds) (2008) International Practice Development in Nursing and Healthcare. Blackwell, Oxford, pp.59-83.

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