quality education for a healthier scotland getting knowledge into action for person-centred care...

Quality Education for a Healthier Scotland

Getting Knowledge into Action for Person-Centred Care

Bibliotherapy in NHSScotland

23rd September 2013


Outline

1. Strategic context and principles• Knowledge into Action supporting person-centred

care for individuals and communities.

2. Practical examples

3. National demonstrator projects


Library = “Healing-Place of the Soul”

PSYCHES IATREION


Person-Centred and Relational Care:Individuals and Communities

“People have ‘assets’ such as knowledge, skills, characteristics, experience, friends, family, colleagues, and communities. These assets can be brought to bear to support their health and well-being.

“Co-production begins and ends with the person, placing them at the heart of any given service and involving them in it, from the creation and commissioning of that service through to its design and delivery.”Scottish Government, 2013: Co-Production of Health and Wellbeing in Scotland.

“We are human beings; our patients or clients are human beings; and it is shared humanity that should be the basis of the relationship between us”

(Curtin, 1979).


“The transfer of knowledge is care.”


Knowledge into Action

Relational Knowledge

Person to person sharing of knowledge to support:•Collaboration•Shared decision-making•Self-management •Better care experience.

Emotional Knowledge


Knowledge is social and relational“Knowledge is power”

and…..

Knowledge is generated through relationships and group processes.

The Internet, social networking and social media offer new opportunities for co-producing knowledge. They help lay knowledge and citizen knowledge to take more power and shape society, including its health and wellbeing.

= “Disruptive power” of knowledge and co-production.Gibbons – “New Production of Knowledge” 1994


Knowledge-Sharing Relationships

Central to system-wide change in age of complexity:

• Network economy

• Health and social care integration

• Public services reform

• Distributed leadership

• Co-production for people and communities.

• Empathic and compassionate care experience.


“Condition of connectedness”

Co-producing outcomes…..

“The future is not some place we are going, but one we are creating. The paths are not to be found, but made. And the activity of making them changes both the maker and the destination.”

― John H. Schaar, Adviser to President Nixon


Practical Implementation

Knowledge into Action: Person-Centred Care Work Strand

Approaches to SharingKnowledge and Generating Personal Meaning


Spectrum of approaches

1. Access to information

2. Checking for understanding

3. Encouraging questions

4. Co-production:• Outcomes• Questions• Meaning

5. Facilitating choice and change.


Self-Management Resources


Aids to Shared Decision-Making

Clarify service users’ evaluation of options based on what matters to them.

Guide service users through deliberation to informed choice.

Print, online, audio and video formats.


Teach Back

Teach-back is a really simple way to check a service user’s understanding. It involves the clinician asking them to explain or demonstrate, in their own words, what they have discussed with them.


Ask Me 31. What is my main problem?

2. What do I need to do about it?

3. Why is it important for me to do this?

Other possibilities:

What are my options? Benefits and risks of each option? What matters to me?


Talking Points

Practitioner-Service user/Carer conversations focused on defining outcomes that matter to the individual, and how to achieve those outcomes.

Emphasises the strengths, capacity and resilience of the individual.

Builds upon natural support systems and wider community based resources.


Patient Information Navigator1. Patients meet with a ‘Patient Information Navigator’

prior to appointments in their care pathway.

2. Prepare using SCOPED - critical reflection to help people to think, talk, read and write about decisions.

• Situation• Choices• Objectives• People• Evaluation• Decisions

3. Record consultation and note key points so that they can follow up, e.g. with wider community information and support.


Creative reading

“Reading as healing.”• Using an individual's relationship

to books, poetry, even films, to uncover personal insight into health and wellbeing issues.

• Co-creates meaning• Shown to be effective in the

treatment of depression and other conditions.

• Reduces isolation• Builds creativity, coping and

problem-solving skills.


Health Behaviour ChangeGeneric eLearning Course

http://elearning.healthscotland.com/course/category.php?id=85

For staff across public and voluntary services.


Health Behaviour Change Interview Process


Knowledge into Action National Demonstrator Projects

Combining these approaches to achieve sustainable improvement at scale.


1. Implementing Knowledge to Support People with Multiple Conditions

Purpose: To support people with multiple conditions through developing Knowledge into Action skills among general practice Information Navigators / Link Workers, as the core of a multi-agency network of knowledge support in the wider community.

Programme of learning opportunities and networking events among Navigators in 3-4 general practices.

Support them to scope and facilitate development of a network of knowledge into action in the community, including public library, voluntary agencies and wider public services.


2. Implementing Knowledge to Support Co-Production

Purpose: Support the Co-Production Network and related networks (e.g. Discover The Third Sector) to use Knowledge into Action tools and methods to find, share and apply knowledge to support co-production.

• Links to key tools and resources for co-production.• An online health literacy toolkit.• A programme of learning for Co-Production and other

networks.• Tests of change, in partnership with the Person-Centred

Care Collaborative.


Library = “Healing-Place of the Soul”

PSYCHES IATREION

Transfer of knowledge facilitating personal insight, choice and change for people and communities.


Aims for today

Inspire and inform:

1. Deeper understanding of bibliotherapy techniques.

2. Raised awareness of activities in Scotland.

3. Identifying opportunities for engagement and collaboration.


Getting Knowledge into Action for Person-Centred Care

Bibliotherapy in NHSScotland

23rd September 2013

quality education for a healthier scotland getting knowledge into action for person-centred care...

Documents

healthier scotland knowledge

quality education

healthier scotland outline

healthier scotland aids

healthier scotland library

emotional knowledge

principles knowledge

transfer of knowledge