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A Guide to Implementing Best Practices in Person ... - cancerview.ca

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Navigation: A <strong>Guide</strong> <strong>to</strong> <strong>Implement<strong>in</strong>g</strong> <strong>Person</strong>-Centred Care September 2012Appendix G: Identify<strong>in</strong>g BarriersTalk <strong>to</strong> Key Individuals (NICE, 2007)Key <strong>in</strong>dividuals have specific understand<strong>in</strong>g of a given situation and have the knowledge,skills and authority <strong>to</strong> enable them <strong>to</strong> th<strong>in</strong>k around a <strong>to</strong>pic and explore newideas. You may want <strong>to</strong> consider talk<strong>in</strong>g <strong>to</strong> a group of key <strong>in</strong>dividuals through one oftheir regular meet<strong>in</strong>gs, for example, a staff meet<strong>in</strong>g.Advantages:• It enables ideas <strong>to</strong> be explored <strong>in</strong> an iterative fashion• Detailed <strong>in</strong>formation <strong>ca</strong>n be obta<strong>in</strong>ed• It is quick and <strong>in</strong>expensive.Disadvantages:• It relies heavily on the key <strong>in</strong>dividual(s)• The responses may be subject <strong>to</strong> bias• It may be difficult <strong>to</strong> f<strong>in</strong>d the right person (or people) <strong>to</strong> talk <strong>to</strong>• Additional corroboration may be needed.Observe Cl<strong>in</strong>i<strong>ca</strong>l Practice <strong>in</strong> Action (NICE, 2007)Sometimes the best way of assess<strong>in</strong>g current cl<strong>in</strong>i<strong>ca</strong>l practice is by observ<strong>in</strong>g <strong>in</strong>dividualbehaviours and <strong>in</strong>teractions. This is especially appropriate if you are look<strong>in</strong>g at eventsthat happen quite often.Advantages:• It enables detailed analysis of current behaviours <strong>in</strong> a specific context• It elim<strong>in</strong>ates report<strong>in</strong>g bias• It <strong>ca</strong>n provide a useful method for moni<strong>to</strong>r<strong>in</strong>g progress, if repeated on a regularbasisDisadvantages:• It <strong>ca</strong>n be difficult <strong>to</strong> ga<strong>in</strong> consent from the people you want <strong>to</strong> observe• Peoples’ behaviour <strong>ca</strong>n alter when they know they are be<strong>in</strong>g watched• A skilled observer is needed <strong>to</strong> m<strong>in</strong>imise <strong>in</strong>fluence on the person be<strong>in</strong>g observed• Methods of data collection need <strong>ca</strong>reful considerationA more formal way of do<strong>in</strong>g this is through an audit.76

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