Learning to improve: challenging context and culture
Aim: This presentation will explore the way in which the many cultures found in any context, impact on the healthcare teams ability to deliver effective Person-Centred practice.
Background: Internationally the challenge and complexity of changing healthcare practices for enhanced patient care is the focus of much attention. Contemporary literature suggests that practice is greatly influenced by the environment or setting in which it takes place (context). Context has been identified as a multi-layered construct that brings together issues of culture, leadership, behaviours, and relationships.
Design: Drawing on the Promoting Action on Research Implementation in Health Services (PARIHS) framework, with its three key elements of evidence, context and facilitation, this presentation will explore ways to identify issues in practice and consider what is required to assist practitioners to make sustainable changes in practice.
Outcome: Holistic facilitative leadership and the creation of psychologically safe spaces are required to cultivate a climate in which individuals and groups feel safe to engage with the challenge of exploring their practice. Consistent, strong, facilitative leadership and authentic collaborative working are imperative if healthcare teams are to more effectively use evidence-based practice and undertake appropriate actions to enhance person-centred practices.