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Doing the right thing when no-one is looking Delivering the Quality Strategy Ros Moore   Chief Nursing Officer for Scotland Douglas Murphy   Senior Clinical Research Fellow, University of Dundee
Professionalism Workstream Delivering the Quality Strategy Why Professionalism is Important
Industrial  Information Provider orientated User orientated Inputs orientated Outputs orientated Hierarchical clinical  teams &departmental silos  Collaborative/virtual teams with true partnership  Power concentrated – in professions &  managers  Power sharing with staff patient & communities  as partners Enforced compliance – PM  policies, procedures & checks  Bottom up standards setting & robust assurance  Defensive conservative Open to review Open to change Self care infrequent  Self care promoted  Carers ignored  Carers valued and supported  Reactive single episode provider driven  Preventative Anticipatory  integrated H& S care models
Tertiary Secondary Primary Professional Care Professionals as authorities Professionals as true partners Professionals as facilitators Individual Self care Friends and family Self help networks Information age health care Industrial age medicine
Restore Public Confidence Reframe public perceptions &  expectations of professionalism
Stated values versus behaviours  Managers & staff Staff to staff Staff & patients
Student Who Created Face book Group Critical of Teacher Sues High School Over Suspension Captured on Face book, the  food-fighting nurses at Stafford General hospital where 1,200 died By  Andy Dolan
Restore Pride Identity & Purpose  DH Workforce Survey 2007/8
Restore co Restore Confidence manage acceptable risk & challenge defensive accountability
Why Professionalism  Gives continuity & helps us adapt to change Professionalism is not only a skills set in a given occupation; it is an ineffable something  ... Larkin 2010
Professionalism Workstream Delivering the Quality Strategy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Purpose of Work Delivering the Quality Strategy ,[object Object],[object Object],[object Object],[object Object],[object Object]
What Does Professionalism Look Like? Delivering the Quality Strategy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Communicating the Message Delivering the Quality Strategy ,[object Object],[object Object],[object Object],[object Object]
Facilitating the Message Delivering the Quality Strategy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Delivering the Quality Strategy Cycle of Insightful Practice Insightful Practice Professional Support Development Needs Reflection on Credible Evidence from Practice Quality Feedback Quality Improvement Professionalism
Measuring the Message ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mapping Exercise
Existing tools used to measure  aspects of professionalism in NMAHP ,[object Object],[object Object],[object Object]
Some potential tools used to measure  aspects of professionalism from contexts other than NMAHP ,[object Object],[object Object],[object Object],[object Object],[object Object]
Some potential tools of team  measurement (professionalism/ culture)  ,[object Object],[object Object],[object Object]
Mapping Exercise

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Doing the Right Thing When No-one is Looking

  • 1. Doing the right thing when no-one is looking Delivering the Quality Strategy Ros Moore Chief Nursing Officer for Scotland Douglas Murphy Senior Clinical Research Fellow, University of Dundee
  • 2. Professionalism Workstream Delivering the Quality Strategy Why Professionalism is Important
  • 3. Industrial Information Provider orientated User orientated Inputs orientated Outputs orientated Hierarchical clinical teams &departmental silos Collaborative/virtual teams with true partnership Power concentrated – in professions & managers Power sharing with staff patient & communities as partners Enforced compliance – PM policies, procedures & checks Bottom up standards setting & robust assurance Defensive conservative Open to review Open to change Self care infrequent Self care promoted Carers ignored Carers valued and supported Reactive single episode provider driven Preventative Anticipatory integrated H& S care models
  • 4. Tertiary Secondary Primary Professional Care Professionals as authorities Professionals as true partners Professionals as facilitators Individual Self care Friends and family Self help networks Information age health care Industrial age medicine
  • 5. Restore Public Confidence Reframe public perceptions & expectations of professionalism
  • 6. Stated values versus behaviours Managers & staff Staff to staff Staff & patients
  • 7. Student Who Created Face book Group Critical of Teacher Sues High School Over Suspension Captured on Face book, the food-fighting nurses at Stafford General hospital where 1,200 died By Andy Dolan
  • 8. Restore Pride Identity & Purpose DH Workforce Survey 2007/8
  • 9. Restore co Restore Confidence manage acceptable risk & challenge defensive accountability
  • 10. Why Professionalism Gives continuity & helps us adapt to change Professionalism is not only a skills set in a given occupation; it is an ineffable something ... Larkin 2010
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16. Delivering the Quality Strategy Cycle of Insightful Practice Insightful Practice Professional Support Development Needs Reflection on Credible Evidence from Practice Quality Feedback Quality Improvement Professionalism
  • 17.
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  • 20.
  • 21.

Editor's Notes

  1. Expert knowledge & skills denoted power & demanded reward, status & visible trappings wigs uniforms etc As the professions proliferate, every group holding specialised knowledge will require an oath or code of ethics that obliges benevolent use of the power that knowledge bestows upon the practitioner. What can be democratised is access to specialised knowledge, or access to professionalism itself.
  2. The focus on targets & money had caused confusion and frustration from staff who were motivated by public service, a personal quest, altruism or profession specific values and