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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 [email protected]
Kelly Sharp, BSc OT, MRSC (candidate)
Community Intervention Coordinator GF Strong Rehab [email protected]
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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