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“Play nice together:”
How Interprofessional Collaboration Could
   Make You Actually Love Research!


 Prof. Philip Darbyshire
     Mater 10th Annual National Conference,
            Brisbane, September 2010
              www.philipdarbyshire.com.au

              philip@philipdarbyshire.com.au
              ‘Making Research Come Alive. Helping People and Practice Thrive’
What you can learn in a pub?
POKIES – ‘The crack cocaine of gambling’
“Most recreational gamblers play at low intensity, but the machines
allow losses of up to $1,200 per hour.” – Productivity Commission, 2009
The ‘Play Nice’ Research Approach


               The Keys:

  • Where are the collaborations and partnerships? -
    not just professional but with patients, clients
    families and communities.
  • Have you got a team together?
  • Is the project ‘do-able’ in about a year?
  • Are you already and always thinking about
    ‘endpoints’, ‘brownie points’ and outcomes?
“She loved the pokies
more than she loved us”
Why interdisciplinary, ‘Play Nice’ research
                is a Big Deal

                Evidence Based Practice

                Accreditation / Magnet / Organisational
                  standing / Monitor

                Organisational Culture

                Recruitment & retention

                The ‘learning organisation’

                Staff engagement and creativity

                The Patient Experience and ‘journey’

                Justify your existence
Make your collaborative
    ‘Play Nice’ project a Big Deal
Evidence Based Practice

Accreditation / Magnet / Organisational standing/Monitor

Organisational Culture

Recruitment & retention

The ‘learning organisation’

Staff engagement

Patient experience

Justify your existence
Our Research Tradition?
 Florence Nightingale – the
    passionate inquirer:


      “When a profession
undertakes research, it takes
  a step toward maturity and
 the assumption of its social
responsibility...We must place
    emphasis on the use of
 research findings as well as
 on the conduct of research.”
Are you busy?
The ‘Big 4’ reasons why clinicians are
        not more involved in research



No
No
No
No
‘No Time’
‘No Money’
‘No Clue’
‘Not Much
 Support’
“Oh and nurse, if you wouldn’t mind
becoming an active, externally funded and
published researcher as well, that would be
               wonderful.”
Waiting, waiting, waiting ... ... for

 • More staff
 • More time
 • More money
 • Less patients/
   work
 • Inspiration
 • New managers
 • More education
 • More resources
‘Waiting for Godot’
Start the “Play Nice” Revolution


    Simple question:
   If not now, when?
The Vital Lessons
The world has changed and the ‘good old
days’ are never coming back.
Constant change, uncertainty, and
unpredictability is the new ‘normal’
Chaos is the new black!
If you do not have a clear agenda,
someone else will give you theirs!
The Clinical Hamster-Wheel
The Clinical Hamster-Wheel

        It co$t$

    Cost of replacing an experienced nurse
     HSM group (USA) $145k (AUS$143k)
     Norwegian estimate, 1m kroner ($200k)
NHHRC Health Reforms Report 2009

                Research is valued and enabled as
                a normal part of providing health
                services.

                Our health workforce is empowered
                to take on the challenge of
                continuous learning, research and
                innovation.

                A vibrant culture of innovation and
                research permeates health services,
                with effective linkages and
                partnerships across universities,
                research institutes, and hospitals
                and health services
The ‘Dumping’ of Research
The ‘Play Nice’ Research Approach


               The Keys:

  • Where are the collaborations and partnerships? -
    not just professional but with patients, clients
    families and communities.
  • Have you got a team together?
  • Is the project ‘do-able’ in about a year?
  • Are you already and always thinking about
    ‘endpoints’, ‘brownie points’ and outcomes?
‘Play	
  Nice’	
  with	
  your	
  valued	
  and	
  trusted	
  colleagues
The Power of
ONE
Get a Project Going

✔

 Keep the discussion of research in
    practice at the abstract and theoretical
    level, and you can be pretty sure that
    nothing will happen.
✔ A tangible project gives people something
  to gather and collaborate around.
Research Alert Detectors
What mechanisms could/do you have to uncover
and identify potential research/projects?

• Patient / client/service feedback
• Complaints
• Professional practice committee/team
• Ideas book
Ask ‘The Missouri Question’


    “Show Me”
Many hands make?
Mental health experiences of young homeless people
Acknowledgements
Thanks to the Australian Rotary Health
Research Foundation who funded this
  study and the associated artwork.
 Our thanks also to Lara Sabbadin for
    conducting the art workshops
Huge thanks to the Australian Rotary
Health Research Foundation who funded
this study and the associated artwork.

Thanks also to Lara Sabbadin for
conducting the art workshops
Is your networking notworking?
Wellesley College Sundial
“The shadow by my finger cast,
Divides the future from the past
   Behind its unreturning line,
 The vanished hour, no longer
               thine.
Before it lies the unknown hour
 In darkness and beyond thine
              power.
   One hour alone is in thine
              hands,
    The now on which the
       shadow stands.”
So, When’s the
        Revolution Coming?

 The revolution will not happen by memorandum.
 Nor can you expect ‘management’ to do it for you.
   If you wait for a time when you have reduced
  workloads, bucketloads of money and unlimited
numbers of staff, - dream on! - you will wait for ever.

     This will NEVER happen
So, When’s the Revolution Coming?


 The revolution will happen in
  your area when you start to
 think and practice as if it had
      already taken place.
“Be the change that you want to see in the
        world.” - Mahatma Gandhi
Play Nice and Prosper!




     www.philipdarbyshire.com.au

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Philip Darbyshire-Creating a Vibrant Research Culture in Nursing and Health Care

  • 1. “Play nice together:” How Interprofessional Collaboration Could Make You Actually Love Research! Prof. Philip Darbyshire Mater 10th Annual National Conference, Brisbane, September 2010 www.philipdarbyshire.com.au philip@philipdarbyshire.com.au ‘Making Research Come Alive. Helping People and Practice Thrive’
  • 2. What you can learn in a pub?
  • 3. POKIES – ‘The crack cocaine of gambling’
  • 4. “Most recreational gamblers play at low intensity, but the machines allow losses of up to $1,200 per hour.” – Productivity Commission, 2009
  • 5.
  • 6. The ‘Play Nice’ Research Approach The Keys: • Where are the collaborations and partnerships? - not just professional but with patients, clients families and communities. • Have you got a team together? • Is the project ‘do-able’ in about a year? • Are you already and always thinking about ‘endpoints’, ‘brownie points’ and outcomes?
  • 7. “She loved the pokies more than she loved us”
  • 8.
  • 9. Why interdisciplinary, ‘Play Nice’ research is a Big Deal Evidence Based Practice Accreditation / Magnet / Organisational standing / Monitor Organisational Culture Recruitment & retention The ‘learning organisation’ Staff engagement and creativity The Patient Experience and ‘journey’ Justify your existence
  • 10. Make your collaborative ‘Play Nice’ project a Big Deal Evidence Based Practice Accreditation / Magnet / Organisational standing/Monitor Organisational Culture Recruitment & retention The ‘learning organisation’ Staff engagement Patient experience Justify your existence
  • 11. Our Research Tradition? Florence Nightingale – the passionate inquirer: “When a profession undertakes research, it takes a step toward maturity and the assumption of its social responsibility...We must place emphasis on the use of research findings as well as on the conduct of research.”
  • 13. The ‘Big 4’ reasons why clinicians are not more involved in research No No No No
  • 18. “Oh and nurse, if you wouldn’t mind becoming an active, externally funded and published researcher as well, that would be wonderful.”
  • 19. Waiting, waiting, waiting ... ... for • More staff • More time • More money • Less patients/ work • Inspiration • New managers • More education • More resources
  • 21. Start the “Play Nice” Revolution Simple question: If not now, when?
  • 22. The Vital Lessons The world has changed and the ‘good old days’ are never coming back. Constant change, uncertainty, and unpredictability is the new ‘normal’ Chaos is the new black! If you do not have a clear agenda, someone else will give you theirs!
  • 23.
  • 25. The Clinical Hamster-Wheel It co$t$ Cost of replacing an experienced nurse HSM group (USA) $145k (AUS$143k) Norwegian estimate, 1m kroner ($200k)
  • 26. NHHRC Health Reforms Report 2009 Research is valued and enabled as a normal part of providing health services. Our health workforce is empowered to take on the challenge of continuous learning, research and innovation. A vibrant culture of innovation and research permeates health services, with effective linkages and partnerships across universities, research institutes, and hospitals and health services
  • 28. The ‘Play Nice’ Research Approach The Keys: • Where are the collaborations and partnerships? - not just professional but with patients, clients families and communities. • Have you got a team together? • Is the project ‘do-able’ in about a year? • Are you already and always thinking about ‘endpoints’, ‘brownie points’ and outcomes?
  • 29. ‘Play  Nice’  with  your  valued  and  trusted  colleagues
  • 31. Get a Project Going ✔ Keep the discussion of research in practice at the abstract and theoretical level, and you can be pretty sure that nothing will happen. ✔ A tangible project gives people something to gather and collaborate around.
  • 32. Research Alert Detectors What mechanisms could/do you have to uncover and identify potential research/projects? • Patient / client/service feedback • Complaints • Professional practice committee/team • Ideas book
  • 33. Ask ‘The Missouri Question’ “Show Me”
  • 35. Mental health experiences of young homeless people
  • 36. Acknowledgements Thanks to the Australian Rotary Health Research Foundation who funded this study and the associated artwork. Our thanks also to Lara Sabbadin for conducting the art workshops
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43. Huge thanks to the Australian Rotary Health Research Foundation who funded this study and the associated artwork. Thanks also to Lara Sabbadin for conducting the art workshops
  • 44. Is your networking notworking?
  • 45. Wellesley College Sundial “The shadow by my finger cast, Divides the future from the past Behind its unreturning line, The vanished hour, no longer thine. Before it lies the unknown hour In darkness and beyond thine power. One hour alone is in thine hands, The now on which the shadow stands.”
  • 46. So, When’s the Revolution Coming? The revolution will not happen by memorandum. Nor can you expect ‘management’ to do it for you. If you wait for a time when you have reduced workloads, bucketloads of money and unlimited numbers of staff, - dream on! - you will wait for ever. This will NEVER happen
  • 47. So, When’s the Revolution Coming? The revolution will happen in your area when you start to think and practice as if it had already taken place.
  • 48. “Be the change that you want to see in the world.” - Mahatma Gandhi
  • 49. Play Nice and Prosper! www.philipdarbyshire.com.au