News

Sue Pembrey

Don't delay! With 3 weeks to go, it’s time to get your nominations in for the Sue Pembrey Award for nurse leadership.

This award celebrates frontline nurse/midwife leaders. Dr Sue Pembrey was one of the UK's outstanding nursing leaders of the late twentieth century. Sue Pembrey’s primary contributions included supporting the academic development of clinical nursing and the development of nursing practice through the strengthening of the ward sister's leadership role and pioneering a commitment to patient/person-centred hospital care. And it is this latter aspect that the award seeks to celebrate.

Do you know an exemplary nurse/midwife leader? Or would you be interested in nominating yourself? All the details are on the website, closing date 17th August.

FoNS Blog

This week Lisa Hacker, from the Royal Bournemouth Hospital, talks about the setting up of a ‘Foot Clinic’, to support patients and build understanding and confidence prior to panned orthopaedic surgery. Read more …

Nurse led services

Working directly with FoNS, these are some examples of improvement activity, led by nurses. They show how adopting a whole team approach and drawing on the experiences of people who use services can transform care. We have a summary document in our library or here is a selection to whet your appetite:

• The School Nurse Rucksack
• 'Bump, Baby and Beyond’ – Creative Ways of Designing Antenatal Preparation Sessions in Collaboration with Women
• Building on Positive Experience: Developing, Implementing and Evaluating a Model for a Self Harm Clinic
• The Implementation of Nurse Facilitated Discharge in Paediatrics
• ‘Knowing why we do what we do’ - Establishing a Unit Practice Council to Improve Evidence Based Nursing Practice in Acute Medicine using Appreciative Inquiry
• Establishing a Telephone Review Clinic for Patients with Inflammatory Bowel Disease
• Improving the Patient Journey within a Minor Injuries Area

Keeping the conversation going

Theresa Shaw, FoNS CEO:

It is great to see that our weekly blogs are generating interest and some comments which help to provoke discussion and debate. For example, last week Daniel Marsden left an interesting comment about my blog on facilitation and context, making links with issues for the field of Learning Disability Practice. Skills in enabling and facilitating have a relevance across health and social care, not just in terms of leadership and team-working but arguably across care delivery as a means of promoting the independence and wellbeing of people using services. Thinking about how these skills can be enhanced to help professionals working within complex contexts and cultures is certainly something worth discussing further. So, keep your comments coming and if you have something important you would like to share maybe thinking about contributing a guest blog!

Events

2017 BANN Conference, 21st - 22nd October 2017, Oxford

The 46th British Association of Neuroscience Nurses annual conference seeks to inspire attendees to create and develop the future in this speciality.  The conference is two days covering the breath of neuroscience nursing including neurosurgery, neuro-medicine, neuro-oncology, paediatrics and stroke.  At the Oxford University Hospital Trust there are a number of specialist nurses from Parkinson’s, neuro-oncology and neuromuscular who will be sharing their knowledge and experience.

Bookings can be made via the BANN website.

Measuring, Understanding and Acting on Patient Experience Insight, 18th September, London

FoNS Practice Development Facilitator Jo Odell will be speaking at this event:

Working with Nurses: Gathering and using experiences of care

• Integrating staff experience and patient experience into practice
• Case studies of health and social care teams that FoNS has supported to lead innovation and improvement using patient experience

Discount available via the FoNS website.

FoNS Blog

Why is nursing in the care sector overlooked? How much experience of social and primary care do student nurses have? This week’s blog, by Karen Davies, Manager, Rose Court Care Home, Manchester suggests we need to ‘enthuse about the wealth of opportunities for nursing within primary and social care’. Read more …

The Sue Pembrey Nurse Leadership Award

This award celebrates frontline nurse/midwife leaders. Dr Sue Pembrey was one of the UK's outstanding nursing leaders of the late twentieth century. Sue Pembrey’s primary contributions included supporting the academic development of clinical nursing and the development of nursing practice through the strengthening of the ward sister's leadership role and pioneering a commitment to patient/person-centred hospital care. And it is this latter aspect that the award seeks to celebrate.

Do you know an exemplary nurse/midwife leader? Or would you be interested in nominating yourself? All the details are on the website closing date 17th August.

New resources page on the FoNS website

We have created a new page in the Creating Caring Cultures section  of the website to house all the resources together. There are links to the revalidation resources and also to the freely accessible companion website to the Practice Development Workbook (by Jan Dewing, Brendan McCormack and Angie Titchen). 

Effective Workplace Culture Blog-site

A new blog has been added to the Effective Workplace Culture blog-site #EWCulture. This week, Kim Manley shares her vast experience of working with teams to enhance care by enabling the creation of workplace cultures that are person-centred, safe and effective. She explores the relationship between organisational and workplace culture and highlights the importance of shared purpose and working collectively. Visit the blog-site to read more.

NHS Leadership Academy: The Ready Now programme for senior BAME leaders

Ready Now is an innovative, inspirational positive action programme from the NHS Leadership Academy for aspiring senior BAME (black, Asian and minority ethnic) leaders whose next move is towards a board level position. The programme is fully funded by the NHS Leadership Academy. Closing date 9 October 2017, though may be earlier if demand is high. Visit the website for more details.

Focus on Mental Health Nursing

Nurses offer ‘sustained contact’ and this is valued by people who use mental health services. ‘It is the mental health nurse who oversees and is responsible for the most constant contact time with inpatients, in the home treatment setting and, increasingly, in the community.’ Butterworth and Shaw, 2017, Playing our Part: A review, p 7)

This is exemplified in the work of the teams FoNS has supported:

• The School Nurse Rucksack
• Involving Service Users' Stories to Develop Mental Health Services
• The Quiet Room: Improving the Acute Care Psychiatric Environment
• EIDDER: Early Intervention Dual Diagnosis Engagement and Recovery
• Can we Talk? A Person-centred Approach to Medication Management in an Acute Psychiatric Ward
• An Exploration of the Lived Experience of Patients and Staff Involved in Supportive Observations within a High Secure Environment
• Developing the Integrated Delivery of Family Intervention within Community Mental Health Teams for People with Psychosis: A Pilot Project
• Involving Young People in the Development and Evaluation of Self Harm Services

Events

Delivering Excellence in Recovery Oriented Services in Mental Health, Monday 2 October 2017, London

Including:

• Network with colleagues who are working to improve the quality of recovery orientated practices for service users
• Improve the relationships and ways of working between service users, families/carers, mental health professionals and commissioners
• Understand and reflect on current challenges in recovery orientated services in mental health, and look at ways of overcoming these challenges

Improving Physical Health Outcomes for people with Mental Health Conditions, Monday 6 November 2017, London 

This conference takes a practical case study based approach to assessing, monitoring and improving the physical health outcomes of people with mental health conditions. There is a focus on early intervention, and through learning from organisations that have succeeded in addressing the challenge of improving the physical health of people with mental health conditions. 

A 20% discount is available to all Friends and Associates of FoNS by quoting ref: hcuk20fons when booking. Visit the FoNS events page for more information.

Sue Pembrey

In 2016, the Sue Pembrey Award was won by Wendy Newnham. We asked her about the impact of the award and she said: 'Winning the Sue Pembrey award 2016 meant a great deal to me, both at a personal and at a professional level ... I would encourage nurses to put forward colleagues for the Sue Pembrey award'.

Read more on the FoNS website and be inspired to nominate yourself or a colleague. Here is the link for the nomination form. 

FoNS Blog

This week Jo Odell talks about patient leadership and collaboration with patients and service users. She suggests that preparation and openness to the possibilities are key. Read more …

Effective workplace culture in health and social care

If you haven’t had the chance yet to look at the Effective Workplace Culture in Health and Social blogsite there’s still time. To recap, the original article Effective workplace culture: the attributes, enabling factors and consequences of a new concept was published in 2011. The authors (Kim Manley, Kate Sanders, Shaun Cardiff and Jonathan Webster) are now revisiting this ‘with the intention of collaborating in the co-creation of new insights into how we recognise, enable and see the impact of effective workplace cultures for patients, staff and the dynamic organisation of health and social care.’ The website has blogs from the original authors and they would love to hear your thoughts and comments. 

Practice Development Facilitator – fixed term post

FoNS is looking to recruit a practice development facilitator. Part time (4 days per week), fixed term 6 month contract. Closing date 21st July, interviews will be held in London 31st July 2017. Click here for more details and the application pack.

International Practice Development Journal Top Ten Downloads

Don’t forget, the International Practice Development Journal is free and open access:

1. Effective workplace culture: the attributes, enabling factors and consequences of a new concept
2. A shared purpose framework to deliver person-centred, safe and effective care: organisational transformation using practice development methodology
3. The importance of inspiring a shared vision
4. Person-centredness – the ‘state’ of the art
5. Don’t fix – facilitate: the role of reflection in successful change processes
6. A reflection on nurse advocacy for the person experiencing dementia whilst an in-patient in the general and acute sector
7. Promoting person-centred practice within acute care: the impact of culture and context on a facilitated practice development programme
8. Evaluation of a practice development programme: the emergence of the teamwork, learning and change model
9. Using creative methods in practice development to understand and develop compassionate care
10. Outcomes from a pilot project on workplace culture observations: getting evaluation and outcomes on the agenda

Events

Nursing Times Deputies Congress, Leeds, 18 – 19 July 2017

There’s still time to secure your place at the Nursing Times Deputies’ Congress: Horizon Conference Centre in Leeds. Visit the website for more information.

What we’ve been reading

The Patient Feedback Response Framework – Understanding why UK hospital staff find it difficult to make improvements based on patient feedback: a qualitative study by Laura Sheard, Claire Marsh, Jane O'Hara, Gerry Armitage, John Wright and Rebecca Lawton (Social Science & Medicine. Vol.178. April 2017. pp 19–27. https://doi.org/10.1016/j.socscimed.2017.02.005)

‘Through the development of the Patient Feedback Response Framework PFRF, [the authors] found that making changes based on patient feedback is a complex multi-tiered process and not something that ward staff can simply ‘do’.’ Very briefly, the authors identify three necessary conditions for patient feedback to result in changes to practice. The first is ‘normative legitimacy’ which basically is the willingness of staff to listen to patients, the belief that patients have something valuable to say. Without this, nothing will happen. The second aspect is structural legitimacy, which is divided into 3 parts: ‘ward teams need adequate autonomy, ownership and resource to enact change’ – when these are present, ward based staff are able to make local changes. In order to make wider changes, what’s needed is ‘organisational readiness’.

These findings are interesting in themselves. But what struck us was the congruence with FoNS’ Creating Caring Cultures model. Coming at the same ‘problem’ using a practice development approach, not only highlights the same issues/enabling factors, but may also point towards how to overcome structural/contextual constraints. Practice development approaches, working with staff to address their concerns can help the development of ‘normative legitimacy’ and enable them to develop greater autonomy, ownership and personal resources.

FoNS Blog

This week FoNS CEO Theresa Shaw talks about the importance of facilitation and culture in getting evidence into practice. Read more …

Join the debate

Is it possible to bring the emancipatory practice development and evidence-based practice agendas together in nursing and midwifery?

In 2015 we published the original article by Greg Fairbrother et al. In our latest issue of the IPDJ, we have a commentary by Debbie Roberts and Lynne Williams and response by the original authors.

Quality improvement – rival or ally of practice development?

In 2016 we published the original article by Gavin Lavery. In the current issue you will find a commentary Overcoming synecdoche: why practice development and quality improvement approaches should be better integrated by Kim Manley et al.

Very timely debates. We’d love to hear your views – comments welcome on every journal article page (at the bottom).

Effective Workplace Culture in Health and Social Care

A new blog has been added to the Effective Workplace Culture blog-site. This week, Jonathan Webster considers the complex and changing nature of culture.

The authors of the site - Kim Manley, Kate Sanders, Shaun Cardiff and Jonathan Webster - encourage you to read the blogs and then to comment and share your ideas, both on the site and with your networks. We would love you to tweet about the site and blogs. If you do, please could you include #ewculture.

The Sue Pembrey Award

In 2016, the Sue Pembrey Award was won by Wendy Newnham. We asked her about the impact of the award and she said: 'Winning the Sue Pembrey award 2016 meant a great deal to me, both at a personal and at a professional level ... I would encourage nurses to put forward colleagues for the Sue Pembrey award'.

Read more on the FoNS website and be inspired to nominate yourself or a colleague. Here is the link for the nomination form. 

Project updates

Following our final workshop/celebration event for the Patients First Programme Year 7, there are updates/posters on some of the current project pages on our website:

• Enhancing the Experience for Patients with Dementia Admitted to an Acute Ward
• Five Ways to wellbeing for Patients with Inflammatory Bowel Disease
• Let's Talk about Miscarriage - Developing a Supportive Service using Patients' Perspectives
• Making Additional Observations Meaningful for Patients with Dementia
• Empowering and Educating Patients Diagnosed with Cirrhosis

Events

Patient Leadership Summit, London, Friday 7 July 2017

FoNS is delighted to be attending this event, as we are firm believers in the importance of meaningful collaboration with patients and service users – and our programmes testify to creative ways to involve patients, service users and families. This event will take things further and we’re looking forward to meeting people and hearing more, especially about patient leadership in service design and improvement.

A 20% discount is available to Friends and Associates of FoNS, find out more details on our events page.

Ward Manager Summit, London Friday 14 July 2017

FoNS CEO Theresa Shaw will be presenting a session on developing your leadership skills. Theresa speaks with years of experience of working, hands on, with nurses and nurse leaders across the country.

• understanding and developing your leadership skills
• developing leadership qualities and behaviours against a framework
• the role of coaching and mentoring
• ensuring a wider understanding of the whole organisation/system in which ward managers work
• a chance to network with your fellow delegates: facilitated interactive discussion and sharing ideas 

A 20% discount is available to Friends and Associates of FoNS, find out more details on our events page.

Absolutely last chance!

Fostering a Culture of Effectiveness through Practice Development is next week 3-7 July 2017. So if you haven’t submitted your registration form yet, please don’t delay!

Still the same value for money opportunity, to develop yourself as a person-centred professional in health or social care and as an individual.

Visit the website, email [email protected] or call 020 7307 2857

FoNS Blog

This week Jo Odell talks about how we demonstrate value for stakeholders in nurse led improvements. Does value depend on who the stakeholder is? Read more …

Events

Patient Leadership Summit, London, Friday 7 July 2017

FoNS is delighted to be attending this event, as we are firm believers in the importance of meaningful collaboration with patients and service users – and our programmes testify to creative ways to involve patients, service users and families. This event will take things further and we’re looking forward to meeting people and hearing more, especially about patient leadership in service design and improvement.

A 20% discount is available to Friends and Associates of FoNS, find out more details on our events page.

Patient/service user involvement is a theme throughout FoNS’ work, here are a few examples of project reports:

• Person-Centred Paediatric Care: Capturing the Experience and Collaborating for the Future
• Person and Family Centred Care in the ICU
• An Exploration of the Patient’s Experience Following an Acute Myocardial Infarction and Participation in a Clinical Research Study
• The Quiet Room: Improving the Acute Care Psychiatric Environment
• Involving Service Users' Stories to Develop Mental Health Services
• Developing a Recovery Based Quality of Life Service for People with Severe and Enduring Eating Disorders

Quite a range!  

Secondary school staff get mental health 'first aid' training

This looks like a very positive initiative from the Dept of Health and is the sort of cross-professional working we saw in the school rucksack project, where the school nurse worked with teachers and the school leadership team to look at what mattered to the school pupils.

In our recent report ‘Playing our Part: The work of graduate and registered mental health nurses’ we argued that all nurses too should ‘hold these [mental health assessment] skills’ (Playing our Part, Butterworth and Shaw, 2017, p 8) and that these should be part of undergraduate nurse education. You can find out more about the report or leave a comment on the MH Nurses blog site.

Sue Pembrey Award for Nurse Leadership 2017: Open for Nominations

Nominations are invited to recognise an exemplary frontline nurse/midwife leader (probably band 6 or 7: such as a ward manager/ sister/ charge nurse, community team leader, care home manager). Nominees will be excellent role models, leading and demonstrating a commitment to enabling care that is person-centred, high quality and safe; delivered by a team who feel supported and valued

Nominations and self-nominations welcome. Visit the website for information and the nomination pack.