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Best Practice Champions

Virtual Workshop

Activities Booklet

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TABLE OF CONTENTS

Objectives of the 2-day Best Practice Champions Virtual Workshop.………………….…………………………….3

Introduction Webinar Information …………………….…….……………………………………………………………………...4

Reflection questions pre-Virtual Workshop Session 1…………………………………………….…………………………5

How to use this booklet …………………………………………………………………………………..….…………………..……...6

Virtual Workshop Session 1……………………………..……………….……………………………………….…………..………...7

Resources and Reflections for Virtual Workshop Session 1……………………………………………………………....8

Activity 1: Identify Problem ………………………………………………………………………………….…………………..........9

Activity 2: Recommendation and Discussion of Evidence………………………………………………………………….10

Activity 3: Gap Analysis…………………………………………………………………………………………………..………………..12

Chapter 1 - Identify Problem, Review & Select Knowledge YOUR NEXT STEPS…….…….………………….....13

Activity 4: Identifying Stakeholders ……………………………………………………………...……………………………......14

Additional Space for Note Taking – Stakeholder Support and Influence……………………………………………15

Activity 5: Engaging Stakeholders …………………………………………………………………………………………………….16

Activity 6: Building a Common Vision with Stakeholders…………………………………………………………….…….18

Chapter 2 - Adapt Knowledge to the Local Context, Stakeholders, Resources - YOUR NEXT STEPS……19

Virtual Workshop Session 2 …………………………..…………………………………………………………………………………20

Resources and Reflections for Virtual Workshop Session 2 ……………………………………………...................21

Chapter 3 - Assess Facilitators & Barriers to Knowledge use - YOUR NEXT STEPS…………………..…………22

Chapter 4 – Select, Tailor, Implement Interventions & Strategies- YOUR NEXT STEPS……………....……..23

Activity 1: Falls Prevention Case Study…………………………………………………………………………….……………….24

Chapter 5 - Monitor Knowledge Use & Evaluate Outcomes - YOUR NEXT STEPS………………….…………..25

Activity 2: Your Top Three ………………………………………………………………………………………………….…….……..26

Chapter 6 - Sustain Knowledge Use - YOUR NEXT STEPS …………………………………………………….……….…..27

Acronyms, Key Terms and Symbols………………………………………………………………………………………… .…….…28

Notes…………………………………………………………………………………………………………………………………………..…..29

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Objectives of the 2-Day Best Practice Champions Virtual Workshop

By attending the 2-session Best Practice Champions Virtual Workshop, you will

have a deeper understanding of:

1) Best Practice Guidelines (BPG)

2) The role of champions

3) Toolkit: Implementation of Best Practice Guidelines, 2nd Edition

4) Knowledge-to-Action (KTA) Framework

5) Social Movement Action (SMA) Framework

6) Planning and implementing best practices

7) Challenges and potential solutions

8) Evaluating and sustaining best practices

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Introduction Webinar: Overview of RNAO, Best Practice Guidelines, Role of the Champion

Pre-Webinar:

1. Upon registration, you should have received:

a. RNAO Toolkit: Implementation of Best Practice Guidelines, 2nd edition

(http://rnao.ca/bpg/resources/toolkit-implementation-best-practice-

guidelines-second-edition)

b. Person-and Family-Centred Care BPG

(http://rnao.ca/bpg/guidelines/person-and-family-centred-care)

c. Best Practice Champions Virtual Workshop Activities Booklet

d. RNJ Article – Leading Change Through Social Movement

Post Webinar:

Reflections:

1. What are some of your reasons for participating in a Best Practice Champions Virtual

Workshop? Consider sharing this enthusiasm and passion with your colleagues.

2. How do you think this webinar has enhanced your understanding of evidence -based

practice?

3. What are you passionate about addressing as a champion using best practice

guidelines? Consider sharing this idea with your manager.

Resources:

• AGREE: Advancing the science of practice guidelines - https://www.agreetrust.org/agree-ii/

• RNAO Best Practice Guidelines - https://rnao.ca/bpg/guidelines

• RNAO Best Practice Champions Network - https://rnao.ca/bpg/get-involved/champions

Preparation for

Virtual Workshop

Session 1

Identify an opportunity for a practice change that you would like to address as a

champion in your practice setting. (This will help you apply the workshop content to a

real-life problem/practice change).

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Reflection Questions Pre-Session 1 Before attending Virtual Workshop Session 1, reflect on the following two questions, and write your thoughts about them.

What are some of benefits of using a guideline?

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

Championing an Opportunity for a Practice Change

Identify an opportunity for a practice change that you would like to address as a champion in your practice setting.

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

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How to use this booklet:

Throughout the Best Practice Champions Virtual Workshop training, think about your role as a champion and what

you can do to support a specific practice change that you’ve identified in your practice setting. This booklet provides

practice exercises for you to do corresponding to each phase of RNAO’s Toolkit: Implementation of Best Practice

Guidelines. The activities booklet provides opportunities for you to reflect on what you’ve learned and identify one or

more ‘next steps’ to support the proposed practice change.

By using this booklet during the workshop, you, as a participant gain an opportunity to apply the champion workshop

content to a real-life problem/issue/opportunity for change that you’ve identified so that you have a preliminary plan

of your next steps.

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Virtual Workshop

Session 1

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Virtual Workshop Session 1

Toolkit Chapters 1 & 2

Pre-Session: 1. Complete Introduction Webinar (pre-recorded).

Post Session:

1. Reflect on today’s learning:

a. What does a gap analysis identify?

b. What is the importance of conducting a stakeholder

analysis?

c. Thinking of an example of a change in your organization:

i. What makes it a priority or important?

ii. Why does it matter to you?

iii. Do others feel the same?

2. Ensure that you have completed ‘Your Next Steps’ worksheet,

Chapters 1-2 boxes.

Resources:

• Grace’s Admission video -

https://www.youtube.com/watch?v=gB47wB8EX_A

• Excellence in Care: BPSO Programme (Vall D’Hebron) video - https://www.youtube.com/watch?v=NsnoFx-_nKw

• RNAO Long-Term Care Best Practices Toolkit, Second Edition - http://ltctoolkit.rnao.ca/?_ga=2.97950810.419026088.1583341107-2012900093.1506694640

Note: In the search box, type in ‘gap analysis’ to retrieve

samples of gap analysis tools/worksheets

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ACTIVITY 1: Identify the Problem

a) Identify clinical and work environment concerns from Grace’s Admission

video. What positive examples of care did you see?

Clinical Concerns Work Environment

Concerns

Positive Examples of Care

b) Consider one of the clinical or work environment concerns identified in the

table above. Which concern do you want to improve first?

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

http://rnao.ca/BPG/initiatives/abuse-and-neglect-older-adults-pan-canadian-best-practice-guideline-initiative/videos

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ACTIVITY 2: Recommendation and Discussion of Evidence (DOE)

Person- and Family-Centred Care Best Practice Guideline, 2015

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Read Recommendation 2.1 and the Discussion of Evidence on the previous page and answer the following questions:

1. What is the recommendation asking you to do? It may help to circle key words or phrases.

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

2. According to the Discussion of Evidence (DOE), why is this recommendation important?

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

3. How might you/your change team implement this recommendation?

_________________________________________________________________________________________________

_________________________________________________________________________________________________

________________________________________________________________________________________________

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ACTIVITY 3: Gap (Opportunity) Analysis Instructions:

• Read each recommendation • Think about “Grace” and consider if the practice recommendations below are met, unmet or partially met • Add comments/evidence to explain your answer

Person- and Family-Centred Care Best Practice Guideline, 2015

Date_________________ BPG Reviewer(s) _____________________________________

Recommendation Met Unmet Partially

met Comments

PLANNING - Recommendation 2 .1 Develop a plan of care in partnership with the person that is meaningful to the person within the context of their life.

EVALUATION - Recommendation 4 .1: Obtain feedback from the person to determine the person’s satisfaction with care and whether the care delivered was person- and family-centred.

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Chapter 1 – Identify Problem, Review & Select Knowledge

YOUR NEXT STEPS

Examples:

-Download the gap analysis tool from the Long-term Care Toolkit and present it at our next staff meeting.

-Meet with my colleagues to discuss a clinical practice problem we would like to address. Make sure we really

understand the problem.

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ACTIVITY 4: Identifying Stakeholders

• You are on the change team and will be implementing the following recommendation from the Person- and

Family-Centred Care Best Practice Guideline:

2.1. Develop a plan of care in partnership with the person that is meaningful to the person within the

context of their life.

• Using ‘Grace’s admission’ video, identify all possible stakeholders according to their position or job title. Consider

individuals, groups and organizations.

• Identify them by position or role only and remember to consider individuals, groups and organizations. You can

refer to pages 37 & 38 in the Toolkit for more examples.

Individuals Groups Organizations

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Additional Space for Note Taking - Stakeholder Support and Influence

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ACTIVITY 5: Engaging Stakeholders

High

Support

Low

Low

Support

High

Support

Low

Support

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ACTIVITY 5: Engaging Stakeholders

Discussion Questions

1. Give an example of a stakeholder with high influence and low support.

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

2. How can we engage stakeholders? What are some strategies?

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

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ACTIVITY 6: Building a Common Vision with Stakeholders

Draw a triangle Draw a banana shape

Draw a circle Draw 9 lines Draw 5 M’s

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Chapter 2 - Adapt Knowledge to the Local Context, Stakeholders, Resources

YOUR NEXT STEPS

Examples:

-Conduct a stakeholder analysis with our team

-Review our goals and objectives for the project and make sure they are SMART

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Virtual Workshop

Session 2

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Virtual Workshop Session 2

Toolkit Chapters 3 to 6

Pre-Session: 1. Complete Virtual Workshop Session 1.

2. Register for Virtual Workshop Session 2.

Post Session:

1. Reflect on today’s learning:

a. Thinking of your organization, what facilitator or barrier can affect the

practice change that you want to address?

b. What should you keep in mind when selecting appropriate strategies to

implement your practice change?

c. How does monitoring and evaluation support practice changes in your

work setting?

d. What can you do as a Champion to sustain practice changes in your

work setting?

2. Ensure that you have completed ‘Your Next Steps’ worksheet Chapters 3-6 boxes.

Resources:

Implementation:

• All Washed Up! video - https://www.youtube.com/watch?v=osUwukXSd0k • RNAO Best Practice Spotlight Organizations - https://rnao.ca/bpg/bpso

• RNAO BPG App - https://rnao.ca/bpg/app • RNAO BPG Order Sets - https://rnao.ca/ehealth/bpgordersets

• RNAO eLearn Courses - https://rnao.ca/bpg/courses • RNAO Implementation Resources - https://rnao.ca/bpg/implementation-resources Evaluation: • Quality at St. Michael’s Falls Prevention video -

https://www.youtube.com/watch?v=Xr9KcX3ejXI

• RNAO Evidence Boosters - https://rnao.ca/bpg/evidence-boosters • RNAO Nursing Quality Indicators for Reporting and Evaluation (NQuIRE®) -

https://rnao.ca/bpg/initiatives/nquire Sustainability: • NHS Improvement – Sustainability model and guide -

https://improvement.nhs.uk/resources/Sustainability-model-and-guide/

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Chapter 3 - Assess Facilitators & Barriers to Knowledge Use

YOUR NEXT STEPS

Example:

-Work with my team to discuss our biggest barriers to addressing our identified program and come up with

strategies to address these barriers

-Work with my team to identify facilitators that we can use to support our proposed strategies to our identified

problem

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Chapter 4 – Select, Tailor, Implement Interventions & Strategies

YOUR NEXT STEPS

Examples:

-Ensure our implementation strategies address stakeholder needs, barriers

-Review the RNAO website for free resources that can help us with staff education

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ACTIVITY 1: Falls Prevention Case Study

Please answer the following questions:

1) How would you measure staff adherence to the intervention?

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

2) What relevant outcomes could be measured?

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

3) How was the data shared with staff?

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

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Chapter 5 – Monitor Knowledge Use & Evaluate Outcomes

YOUR NEXT STEPS

Example:

-Start planning for evaluation now

-Identify what we are going to evaluate

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Activity 2: Your Top Three

What are the top three ways you could ensure the sustainability of intentional rounding?

1) _____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

2) _____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

3) _____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

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Chapter 6 - Sustain Knowledge Use

YOUR NEXT STEPS

Example:

-Review the sustainability planning worksheet in the Toolkit and discuss it with our team

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Acronyms, Key Terms and Symbols

BPG – Best Practice Guideline

PFCC BPG – Person- and Family-Centered Care Best Practice Guideline

KTA – Knowledge to Action Framework

SMA – Social Movement Action Framework

BPSO – Best Practice Spotlight Organization

DOE – Discussion of Evidence

Implementation – using evidence and knowledge to inform, achieve and sustain a practice change

Person/individual – patient/resident receiving care

Change Team – people who share a common vision for change and who work together towards change

Best Practice Champions Workshop Activities Booklet

Contribute to discussion in chat box

W

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Notes: