Project Update for Effective Practitioner Development Group

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Supporting and Valuing Nurses, Midwives and Allied H
ealth Professionals in Practice


P
roject Update

for
Effective Practitioner Development
Group


J
une

2013

1.
EFFECTIVE PRACTIONER: ENGAGE, DISCUSS AND SHAPE TO 2016

The Effective Practitioner took place o
n 30th April 2013

at the Beardmore conference
centre in April attended by
130 nurses, midwives and allied health professionals
.

Hazel
Dykes, co
-
chair of the Effective Practitioner steering group chaired the event. Belinda
Dewar, Professor of Practice Impr
ovement, University of the West of Scotland gave a
thought provoking keynote speech that included developing a practice model for
compassionate care for everyone.

It was fantastic to hear practitioners sharing their local projects at concurrent sessions,
and
also hear feedback from the national evaluation. Dr Lesley Holdsworth, Chair National
NMAHP ehealth Network gave a keynote speech on ‘Effective Practice in the Digital Age’
that encouraged us to think differently about how we could use technology to th
e benefit of
patients and practitioners. A Releasing Time to Lear
n workshop was very popular


it
was
very appropriate to include
this workshop
as lack of time is a
reason cited for not using the
Effective P
ractitioner resource.



Delegates informed the

development of the Effective Practitioner initiative over the next 3
years in a visioning environment. Messages included … “Effective Practitioner will be a
resource that everyone uses in NHSScotland” . “Practitioners will be empowered to
facilitate chan
ge and influence practice” and “There is a culture where work

based learning
is valued and supported”.


Video footage of the presentations, photos and copies of the posters are all available at
http://www.effectivepractitioner.nes.scot.nhs.uk/info
-
centre/events.aspx


See Appendix 1 for the evaluation of the National Event.

See Append
ix 2 for the feedback from the Visioning E
nvironment

2
.

FUNDED PROJECTS

During 2012
-
20
13 NHS Education for Scotland invited Health Boards to act as a test site
to progress a small number of projects within their NHS Board from a funding allocation
from NHS Education for Scotland (NES).
5 Boards were selected.


The funding aimed to support n
urses, midwives and allied health professionals to enhance
care through focussed learning projects/activities
which mad
e an explicit link to one or
more of the NHSScotland Quality Ambitions (NHSScotland Quality Strategy 2011).



2


This formed part of the
next

evaluation phase of the initiative focus
sing
on the generation
of new evidence related to how the Effective Practitioner resources are being used in
practice.


The thirteen funded projects reported on 28
th

February and experience and lessons
learned are
being used to further support implementation.
Four of the projects were
subject to more in
-
depth evaluation to establish the experiences and impact of Effective
Practitioner on practice.


The funded projects were supported to develop poster presentations
and deliver
concurrent sessions at the National event.


3.
SUPPORTING IMPL
E
MENTATION AND
E
VALUATION


The supporting infrastructure for Effective Practitioner includes the NHS Board Leads,
Practice Educators, and Practice Education Leads. Additional supp
ort was provided by
Blake Stevenson Ltd integrated with evaluation of the Funded projects.


The support
provided across Scotland
and
the
evaluation

findings
have been reported

collectively

and relevant findings will be disseminated
. These
findings
will

a
l
s
o

be used to

further develop,
raise awareness, e
mbed and sustain Effective Practitioner.



4.
TECHNOLOGY TO SUPPOR
T LEARNING


There are currently a range of approaches used to
support learning by the
la
rge and
diverse NMAHP
audience
.
It is recognised
that
segments of

our audience may
already
be
using

or have the potential to use
new technologies
.



4.1 Mobile Application

NHS Education for Scotland is now progressing the development of a mobile application
for Effective Practitioner. There will native
apps for iPhone followed by Android

during this
financial year
.


The rationale for this approach is




To get learning resources closer to practitioners



To maximise the use of technology to support learning



To engage users in a contemporary and interactive

learning environment



To relay the message that learning takes place anywhere



To widen access by reaching our audience who already do or potentially could
value learning using smart phone / tablet technology



To test learning using mobile technology to info
rm future developments



To enable reflection on practice during or soon after a learning experience


A rapid design workshop; user focus groups, and telephone consultations have taken
place to ensure the functionality meets user expectations and need. Ther
e will be
continued user engagement throughout development.


The key functions of the mobile application will

include
a modified interactive self
assessment tool; targeted learning activities

selected from the web resource
;
push
notifications;
just in time

reflective tool for audio and text input, plus tips for learning and
inspirational quotes.



3



4.2
Survey
Poll

This is a facility on the Effective Practitioner website which enables user engag
ement. The
first poll is
ask
ing

users

how they currently
access

the Effective Practitioner web resource
from

-

Work Computer

-

Home Computer

-

Tablet (e.g. ipad)

-

Smartphone (e.g. iphone, samsung)

-

Other


This aim of this poll is to

-

I
ncrease two way
engagement with our users

-

Contribute to understanding of our audience

-

Rais
e awareness that

EP and learning generally
can be accessed from tablets
and smartphones


4.3 Stay Connected

This is a new function to encourage users to stay connected with Effective Practitioner so
that we can give information and updates. It also provide
s us with a database of users to
encourage two way communication and feedback. There are presently 250 users on our
database.


4.4 Social media

We are currently communicating through NES twitter account on a regular basis. We used
the #effectivepractition
er to communicate throughout the National event.

Although this was
only used
b
y a few delegates
it
promoted
the message that social media is a tool for
education.


We are currently looking to develop a Social Marketing Plan and will progress this over the
next few months.



4.5 Demo Presentation

Practice Educators in the
North Region and Dumfries
&

Galloway are working with the
Effective P
ractitioner team to development of a demo version of the web resource. Th
is is
for a number of purposes a
)

to ena
ble off
-

line demonstration when internet connection is
poor.
b)

t
o enable use by other educators / senior clinical staff to promote effective
practitioner
locally, c) as a
stand alone for individual users to ac
cess in order to
understand
context and
funct
ionality.

This will be available
by
August

2013
.






5. WEB ANALYTICS


The Effective Practitioner web resource continues to be accessed regularly



accuracy of
some aspects of analytics are dependent on users accepting cookies
; but they do provide
som
e useful insights into how the resource is being accessed.



-

10, 897 people visited the site

in the 6 month period Dec 2012


May 2013

-

New visits continue to be around 67% when compared to returning visitors.

-

Top referral
web
sites include Flying Start N
HS; Evidence into Practice;
Knowledge Network, Postregistration Career Development Framework

-

Top referrals from staff intranet sites are Tayside, Lothian Grampian, and
Orkney


4


-

F
requency of visits

per user

remains
primarily only 1 visit

(n=7,383).
V
isits
b
etween
8
and

25
time n=581. With visits 25
-
100 time
s n = 333. Suggesting a
regular

users of the site defined as more than 8 times = 924

-

Access is 90% from a personal computer.

-

Access is 10% is from mobile technology


primarily Apple iPad (n = 503) and
A
pple iPhone (n= 230)

-

Most popular pages are : home page; clinical practice; self assessment; learning
activities; equality and diversity; resources; enhanced person centred care;

-

We are now seeing the new learning resources under Leadership; evidence
resre
arhc and development; and facilitation of learning featuring more in
analytics.


When comparing two x 3 month periods (Dec to Feb and March to May 2013)

-

T
here was a 26.9% increase in visitors and 21.8% increase in page views


-

Access from Mobile/Tablets inc
reased by 50% (n=986 visits compared to n =
655)

-

The news and events section has increased from 170 to 1,002


We will use the above and the more detailed analytics to continue to get insight into use of
the site to inform development, evaluation and marke
ting.



Ann Rae


Educational Projects Manage
r


24
/0
5
/2013




5


Appendix 1 Evaluation of the National Event


Delegates were invited to complete an evaluation through Questback. 56 responses were received
as at 21
st

May 2013 representing 43% of the audience
.


Please find a flavour of the feedback below


What did
delegates
hope to get out of attending the event?



-

More knowledge of the Effective Practitioner and how its use can help support my
career.


-

Share discussions around future improvements/uses of Effect
ive Practitioner.


-

An up to date account of the implementation of the EP initiative within NHS Scotland


-

I hoped to hear what my colleagues have used the Effective practitioner resources for,
and to meet with my peers … who haven't yet used it to share the
ir ideas and possible
concerns.


-

Overview of how EP is being used in other health boards, where staff have engaged
with it and what sections and resources they have used.


-

Was unsure of what Effective Practitioner was about and hoped to gain some insight
into its purposes and uses.


45% felt their expectations were met; 4*% partially met; 7% (n=4) not met;


The reason for their answers

included


-

The conference gave me an opportunity to get ideas from others and gave me some
ideas to consider.


-

I didn't kno
w what to expect. I suppose if I had spent more time, before the event, on
the website I would have been better prepared.


-

Unfortunately, I felt that the conference was aimed more at nurses. I felt that the
workshops I attended were of no relevance to me a
s an AHP.


Feedback on the Event Programme



All delegates found the Keynote speeches
Excellent (54%) Very good (35%) and Good (11%).


The concurrent sessions
; the

visioning environment, the releasing time to learn workshop and the
market place / networkin
g
were
all
viewed
similarly


scoring
Excellent or Very Good (
60
%) Good
(30%)
and s
atisfactory

(10%)
.


Here are some comments:


-

The keynote speeches by Belinda Dewar and Lesley Holdsworth were particularly
useful in setting the context for the importance
of CPD and the role of EP within this.
Key note speakers were very encouraging and motivating.


-

I liked the Visioning environment
i
nteractive session. It gave me the opportunity to talk
to others and discuss any problems they found when they used it.



6


-

Mee
ting other staff from different divisions and sharing experiences with us. Hearing
from those involved in projects using Effective Practitioner and the navigation support
they recieved.


-

The funded presentations demonstrated how effective practitioner coul
d be used.
Previous to this I had been given the impression that it was 'just another CPD' resource
that brought all other resources to one place. I had been on the site but didn't have time
to realise the potential.


-

The releasing time to learn session w
as very beneficial as I manage a new team and
thought suggestions were very good to help.


-

I found the entire day useful. I was inspired by the keynote speakers
I
was enthused by
the funded project sessions and I had my mind opened to a number of new possi
bilities
in the market place.



Engaging experience


82% of delegates who completed the questback felt there was enough time for discussion and
91% felt there was enough time for networking. 86% felt the resources were useful.


96% intended to share the in
formation with their teams after the event.


Here ar
e some ways they suggested how
they would do that


-

Staff meetings, email of information gained at the event, utilising ideas obtained through
discussion and sharing information on leaflets given at the ev
ent.


-

Through team discussions and by using and encouraging the use of the Effective
Practitioner website to all the team.


-

I am going to set aside some time to look at the site resources myself and we have
some ideas for projects


-

I will highlight where t
o access the posters when made available.


-

Discuss the event with the ward team and try to implement learning points from the
presentations within the ward environment.


-

I am making people aware of the site as I thought more people know about it, and
beca
use I find it helpful I will make others aware of this.



Other comments

-

Need better organisation of refreshments as queuing took time out of networking and
looking at resources

-

Food was lovely thank you

-

Maybe next event should be advertised more as if I h
adn't have been involved I doubt I
would have known about it as my colleagues also had seen no information regarding
event.

-

I appreciated the time, effort and striving to achieve the best for everyone attending.




7


Appendix 2
Collated Feedback from the Vis
ioning Environment to 2016 at the
Effective Practitioner National Event
.




Practical suggestions

Address time by protecting learning time

Increase marketing as many people do not know about it

Text alerts

Increasing awareness: practitioners, managers, pre and
post
reg
students

Ensure easy to access to information and bite sized
learning

Sharing experience of others to help teams to implement

Use top
-
down as well as bottom up approach

buy in

Support practitioners to use the resource

Phase implementation for early / late adopters,


Improving Content Suggestions

Increase content for different settings / professions

Increase care and compassion aspects

promoting
wellbeing

Ensure bite sized education and information

Social media : forum/chat, wiki/blog, discussion forums

Strengthen messages about for accountability,
revalidation, CPD, PDP, KSF,

Strengthen links between Effective Practitioner,
Releasing Time to Care, KSF, Flying start, Mental Health
work, and work in other Enabling boards

Provide more examples of good practice, projects,
completed forms, learning activities, KSF,


8


Future Development Suggestions

Long term investment regardless of the political
environment & continue to expand & develop resources
to keep pace with the changing & challenging
environment.

Respond to Health and Social Care integration

Embracing technology but account for challenges
relating to hardware, accessibility and individuals
capability

Touch screens may be more valuable than leaflets

Incentivised (prizes, loyalty points)


Supporting
practitioners
to use
technology
That there is a
culture where
work
-
based
learning is
valued and
supported
Ongoing
support from
NES for
future
projects
Staff feeling valued
and feel they have
ownership of their
learning and are
supported by senior
leaders
Really need to
empowering
practitioners to
facilitate change and
influence practice

leadership
development
Vision for 2016


9


I want a multipurpose
evidence based website/
app that I can use to
demonstrate my personal
evidence based practise.
Reassurance that
effective practitioner
will still be in place
after 2016 to ensure
engagement
NHS organisations will be
fully digitally enabled and
technology is available
where the patient is
Vision for 2016


Effective Practitioner bringing
nurses, midwives
and
AHP

s
together
The one
-
stop shop
for support and
professional development
Effective Practitioner the
resource everyone
uses in NHS
Scotland
International
conference
reports on NHS Scotland

s
EP projects and successes
2016 Headlines




10


Appendix 3

Effective Practitioner Website Analytics