Building the Reflective Healthcare Organisation (eBook)

Tony Ghaye (Autor)

eBook Download: PDF

2008
John Wiley & Sons (Verlag)
978-0-470-69113-7 (ISBN)

Infos

Healthcare organisations have to manage change in order to evolve and improve care. This book explores the use of reflective practice as a practical tool to examine growth and change and to develop an effective health care organisation.

Professor Tony Ghaye is a key player in reflective practice. He is editor of the Reflective practice journal for Carfax Publishing /Taylor and Francis and Chief Operating Officer of The International Institute of Reflective Practice-UK in Gloucestershire. He is also visiting Professor at Luleå University of Technology, Sweden.

Inhalt

Building the Reflective Healthcare Organisation 1
Contents 7
Acknowledgements 9
Dedication 10
Preface 11
Introduction: Mapping out the 'rough ground' 15
Building the reflective healthcare organisation: asking a question 16
The power of the positive question 18
Opening up the book's central question 19
Re-framing reflective practice as reflective learning 23
What is a frame? 23
How framing works in practice 24
What is r-learning? 28
The book's basic action steps 31
What is an action pathway? 32
Is it enough to know an action's path? 34
Scaling up reflective learning: some challenges in taking action 34
RAISE 38
Mapping out the 'rough ground' 39
References 41
Chapter: 1 Action step 1: developing an appreciation of reflective learning 43
Some conceptions of reflective practice 44
The evidence-base for action step 1 44
Some conceptions of reflection 46
Are definitions of reflective practices important? 55
Reflections on the failure-to-success spectrum 56
Some kinds of reflection 58
Reflection and the complexities of practice 63
The centrality of the individual 65
Some aspects of critical kinds of reflection 67
Linking reflection with learning and practice 71
Linking reflection with good practice 73
What are some of the habits of reflection? 74
Some frameworks for action 75
The reflective practitioner 77
Why are reflective practices important? 81
Getting organised for engaging in reflective practices 82
Reflective practices and workplace cultures 83
Re-framing reflective practices 88
Moving on and building a new positive core 91
References 100
Chapter 2: Action step 2: r-learning as an innovation 105
Coverage and uptake of innovations 106
Framing r-learning as an innovation 108
What makes an innovation successful? 110
Reflecting on patient safety 114
Facilitating r-learning at the centre of a cancer care network 130
What do we know about scaling up? 139
What are some of the challenges to scaling up? 140
Adoption as a staged process: the work of Rogers 141
Adopting an innovation: the case of an English primary care trust 143
Innovation as a non-linear dynamic system 146
The work of Greenhalgh et al. (2004) and a multidisciplinary view 149
References 152
Chapter 3: Action step 3: journeying along action pathways-to-scale 156
What is a pathway-to-scale? 157
Action pathway: values 159
Action pathway: conversation 175
Action pathway: user 186
Action pathway: leadership 204
Action pathway: team 213
Action pathway: network 222
Summary 228
References 229
Chapter 4: Action step 4: a force for change 234
RAISE 234
Illustrating RAISE in practice 235
References 248
Summary 249
Useful metaphors 249
The central question 249
R-learning 249
Action pathways-to-scale 249
A force for change 250
Towards a full-stop 251
Index 253

Produkt-Details

• Erscheint lt. Verlag: 15.4.2008
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Gesundheitswesen
• Themenwelt: Medizin / Pharmazie ► Pflege ► Ausbildung / Prüfung
• Schlagworte: action • action step • Appreciation • Ausbildung u. Perspektiven i. d. Krankenpflege • Book • Change • examine • force • Gesundheits- u. Sozialwesen • growth • Health & Social Care • Healthcare • Health Care Administration • IMPROVE • Innovation • Introduction • Krankenpflege • Manage • nursing • Nursing Education & Professional Development • Order • organisations • Pathways • Practical • Practice • reflective • rough ground • STEP • Tool • use • Verwaltung im Gesundheitswesen
• ISBN-10: 0-470-69113-1 / 0470691131
• ISBN-13: 978-0-470-69113-7 / 9780470691137