a self management community of practice as a knowledge translation strategy

A Self-Management Support Community of Practice as a

Knowledge Translation Strategy

Helena Jung & Kelly SharpGF Strong Rehabilitation Centre

Disclosures

We are unable to identify any potential conflict of interest and have nothing to

disclose…

Learning Objective

To learn how a community of practice facilitates clinicians’ knowledge, skills,

and confidence in the use of self-management support strategies in an

acute rehabilitation setting.

Outline

• Background• Our Story

• Needs Assessment • Community of Practice• Quality Improvement Project

• Lessons Learned

At GF Strong…

Chronic condition: “any ongoing management over a period of years or decades” (WHO, 2005)

Definitions

Self-Management (SM):“Tasks that an individuals must undertake to live well with one or more chronic conditions.”

Self-Management Support (SMS):“Systematic provision of education and supportive interventions, by health care staff (and others), to increase patients’ skills and confidence in managing their health problems”

Health Council of Canada (2012)

Self-Management Support @ GF Strong

Next Steps of SMS @ GF Strong

Self-Management Support @ GF Strong

Next Steps of SMS @ GF Strong

Community Of Practice“a group of people who share a concern, set of problems, or a passion about a topic, and who

deepen their knowledge and expertise in this area by interacting on an ongoing basis.” (Wenger et al., 2002)

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SMS Community Of Practice Survey Quantitative•20 questions, based on 5 point confidence rating scale • Related to clinicians’ ability to facilitate SMS using SMS tools

average scores:

QualitativeBased on 4 open-ended questions:1. What did you learn from the

experience of being involved with the SMS Community of Practice?

2. What are your ongoing learning needs?

3. What tools/components of SMS did you find useful and plan to incorporate in your practice?

4. What ideas do you have in bringing SMS to your team, program, and GF Strong as a whole centre?

N=8 N=10

Self-Management Support @ GF Strong

Next Steps of SMS @ GF Strong

Self-Management Support @ GF Strong

Next Steps of SMS @ GF Strong

So far…. Our Lessons LearnedGeneral:

• Staff engagement• Need for Evaluation • Management support • Plan for attrition• Patient perspective

Community of Practice: • Coordinator(s) to facilitate• Input from content experts• Ongoing sharing

Key Message

“Coming together is a beginning; keeping together is progress; staying together is success.”

Henry Ford

Acknowledgements

Karen Anzai Caroline Marcoux

GFS SMS Community of Practice membersSusan Barlow

Dr. Brad HallamChris Palmer

Patrick McGowan Maylene Fong

Helena Jung, BSc OT, MRSC

GF Strong EducatorGF Strong Rehabilitation Centrehelena.jung@vch.ca

Kelly Sharp, BSc OT, MRSC (candidate)

Community Intervention Coordinator GF Strong Rehab Centerkelly.sharp@vch.ca

References1. Bandura, A. (1977). Self-efficacy: Toward a Unifying Theory of Behavioral Change. Psychological

Review, 84(2), 191-215. 2. Health Council of Canada. Self-management support for Canadians with chronic health conditions: A

focus for primary health care [Internet]. Health Council of Canada; May 2012 Available from: http://www.carp.ca/2012/05/24/self-management-support-for-canadians-with-chronic-health-conditions-hcc-report/

3. Heidi S, Renninger KA. The Four-Phase Model of Interest Development. Educ Psychol. 2014; 41(2): 111-127.

4. Wenger E, McDermott R, Snyder WM: Cultivating Communities of Practice: A Guide to Managing Knowledge. Boston, MA: Harvard Business School Press; 2002.

5. World Health Organization. Preparing a health care workforce for the 21st century: The Challenge of Chronic Conditions. Switzerland: World Health Organization; 2005 [cited 2014 Mar 1]. Available from: http://apps.who.int/iris/handle/10665/43044

Expanded Chronic Care Model: Integrating population health promotion

Barr, 2003

5 A’s Delivery Model (Glasgow et al., 2002; Whitlock et al., 2002).

ASSESSASSESS• Building rapport

through open-ended questions

• Agenda bubbles*• Readiness Change

Scales• Decisional Balance• COPM• Wellness checklist*

ADVISE ADVISE • Information from

assesment• Ask-Tell-Ask• Closing the loop

AGREEAGREE• Agenda bubbles* • Action plan• Wellness checklist*

ASSISTASSIST • Problem solving• Reviewing action plan• Reviewing wellness

checklist

ARRANGEARRANGE• Follow-up• Link-up

Resources• Knowledge Translation Canada: http://ktclearinghouse.ca/ktcanada • CCMI: The Centre for Collaboration, Motivation and Innovation

http://www.centrecmi.ca/ • Self- management BC: http://www.selfmanagementbc.ca/ • BC Ministry of Health - Self-Management Support: A Health Care Intervention:

http://www.selfmanagementbc.ca/uploads/What%20is%20Self-Management/PDF/Self-Management%20Support%20A%20health%20care%20intervention%202011.pdf

• Registered Nurses’ Association of Ontario – Strategies to Support Self-Management in Chronic Conditions: Collaborating with Clients: http://rnao.ca/bpg/guidelines/strategies-support-selfmanagement-chronic-conditions-collaboration-clients

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