Enhancing Care for Older People - Health Service Executive

a multidisciplinary PD group. The group members were known as programme participants
and within each of these groups, nurses holding grades from Director of Nursing (DON)
to staff nurse were identified as internal facilitators. The facilitation framework for the
programme is illustrated in Figure 1.1 and the national programme team and participating
sites are outlined in Appendix 1.
Figure 1.1: Facilitation Framework
University of
Ulster Practice
Development
Researchers
NMPDU nurse
facilitators
Internal
facilitators from
the residential
units
A structured programme of work was implemented in each of the residential sites over
the two year period, with facilitated programme/workshop days taking place every four to
six weeks. A wide collection of evaluation processes or tools were used in the programme
including quantitative and qualitative approaches. These are detailed as follows:
• Reflective process accounts
• Context Assessment Index [CAI] (McCormack et al., 2006)
• Person-centred Nursing Index [PCNI] (Slater and McCormack, 2006)
• Person-centred Caring Index (PCCI) (Slater and McCormack, 2006a)
• Cultural Observation Tool [Workplace Culture Critical Analysis Tool – WCCAT]
(McCormack, Henderson, Wilson and Wright, 2007)
• Resident Narratives (Hsu and McCormack, 2006)
• Interviews with key stakeholders
Multidisciplinary
PD groups
The processes used and subsequent outcomes were evaluated within a framework of
cooperative inquiry, primarily drawing upon reflective dialogue data between the nurse
facilitators and the healthcare teams in the participating sites. The programme was
completed in September 2009; a final report will provide further detailed information
(McCormack et al., 2010). An overview of the outcomes of the national programme and the
governance framework is outlined on page 10.
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