The Collective Leadership for Safety Cultures Toolkit @QITALKTIME - - PowerPoint PPT Presentation

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The Collective Leadership for Safety Cultures Toolkit

CHAMPION PARTNER ENABLE DEMONSTRATE www.qualityimprovement.ie @NationalQI

Speakers

Steve Macdonald is a member of the UCD Health Systems Team assisting with development of the Collective Leadership for Safety Cultures Toolkit. He is also working on interventions to reduce self- stigma among people living with TB and HIV in low- and middle-income countries, in partnership with Irish and international NGOs.

CHAMPION PARTNER ENABLE DEMONSTRATE www.qualityimprovement.ie @NationalQI

Instructions

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Steve Macdonald

Research Scientist, Health Systems Team

School of Nursing, Midwifery, and Health Systems, University College Dublin

Collective Leadership for Safety Cultures Toolkit

I n-depth inform ation on collective leadership: Please visit HSE QI Talk Tim e w ebpage January 2 0 1 9 : “Collective Leadership” presentation & recording www.hse.ie/eng/about/who/qid/resourcespublications/qitalktime.html

About Co- Lead

W hat is Co-Lead?

5 -year program m e at UCD researching the im pact of collective leadership on healthcare team perform ance.

Co-Lead aim s

Support quality and safety cultures in healthcare through developm ent of a new m odel of leadership that is associated w ith effective team perform ance.

Priority areas

1 . Leadership developm ent 2 . I m proving quality and patient safety

Approach

Developing the team as a dynam ic leadership entity.

W hat is collect ive leadership?

Collective leadership is the interaction

• f team m em bers to lead the team by

sharing in leadership responsibilities.

W hat is safet y cult ure?

Beliefs, perceptions, and values that em ployees share in relation to risks w ithin the organisation.

Cox, S. & Cox, T. (1991) The structure of employee attitudes to safety - a European example Work and Stress, 5, 93 - 106.

Traditional leadership m indset NEW Collective Leadership m indset

Self as leader Aligning purpose & actions Adaptive action learning Transparent pow er sharing Relational shared leadership Collective input & process Group reflection/ learning Group accountability Group creativity & w isdom Leader of follow ers Setting vision & directing Control & planning Exercising pow er Leadership hierarchy Centralised decision m aking Personal claim or blam e I ndividual responsibility I ndividual intelligence

I NDI VI DUAL LEADERSHI P COLLECTI VE LEADERSHI P

W hy is collect ive leadership needed?

The challenge

Poorly im plem ented hierarchical leadership can contribute tow ards patient safety failures, blam e cultures, under-reporting of errors etc.

• Pow er im balances m ay occur betw een junior and senior

m em bers of staff.

• Non-standard practices becom e accepted.
• Scapegoating, clim ate of fear of failure rather than a focus
• n learning and im proving from failure.

The addit ional challenges

Com m unication betw een specialities is often inform al, unstandardized, and fragm ented. Team s m ay be fluid, w ith individuals joining briefly for specific tasks or purposes. Expertise in team s can be highly distributed. Form al leadership and team m em bership can vary.

Dynam ics of the healthcare setting

Free, open-access resource. The Co-Lead Toolkit is a set of m odules designed to enhance collective leadership am ong m ultidisciplinary healthcare team s.

The Co- Lead Toolkit

6 Core m odules 1 3 Targeted m odules Co-designed by health professionals, quality and safety experts, patient advocates, and researchers. Content based on synthesis of latest evidence. tinyurl.com / CoLeadPublications

Using t he t oolkit

1 m odule every 2 w eeks/ m onthly Team s undertake 6 core m odules Team s select targeted m odules Sessions m ay be integrated into norm al team m eeting opportunities such as journal club etc. Set of recom m ended m odules to ground all m em bers in key concepts of collective leadership. Specifically address key areas of collective leadership chosen by the team . Co-Lead toolkit m odules take the form of 1 hr long w orkshop sessions

W hat is needed?

1 -2 team m em bers facilitate the session, w ith different m em bers facilitating each tim e. Each dow nloadable m odule package contains step-by-step instructions and resources to facilitate a w orkshop session. The rest of the team !

How is a t ypical m odule run?

1 hour

I ntroduction/ icebreaker I nform ation Discussion/ group w ork Recording

• utputs/

planning Brief feedback

Exam ple support s

Monitoring and learning tools Supports for evaluating and m onitoring im provem ents in team perform ance and safety practices. Resources for com m unication Supports to allow better, m ore efficient com m unication am ong m em bers of the m ultidisciplinary team . Team w orking tools Supports to foster m ore collaborative and efficient team w orking environm ents.

Core m odules

All team s should com plete these m odules first. TEAM PERFORMANCE SAFETY CULTURES

Target ed m odules

TEAM PROCESSES W ELLBEI NG PATI ENT SAFETY SUSTAI NI NG I MPROVEMENTS

Exam ple cont ent 1

M onit oring & lea rning t ools

Module focus Achieved by Team m em bers w ork collaboratively to im prove the patient safety environm ent. Group w ork to reflect on and understand w hat m easures of safety and risk that could be m easured w ithin the team .

Monitoring & learning tool

Exam ple cont ent 2

Resources for com m unica t ion

Module focus Achieved by I ntroduce team m em bers to a graded assertiveness tool that allow s them to raise safety concerns w ith colleagues. Video and facilitated discussion to build shared understanding of how to use the tool to prom ote safety discussions.

Com m unication resource Team planning for using this resource

Exam ple cont ent 3

Tea m w ork ing t ools

Module focus Achieved by Help team s create an environm ent w here staff can share their concerns and trust other team m em bers to support them in their w ork. Group w ork and facilitated discussion for team m em bers to understand each others’ strengths and areas for further developm ent.

Team w orking tool And…?

Get t he t oolkit

(www.ucd.ie/ collectiveleadership/ resourcehub/ toolkit)

tinyurl.com / CoLeadToolkit

Progress t o dat e

W ebsite and m aterials launched Team recruitm ent for scale-up Toolkit piloted at hospital sites Co-design process com pleted Toolkit m aterials finalised

Pilot t eam feedback “Definitely it improved service for patient outcomes. That's always what it's about, at the end of the day.” “It's more empowering to know that you would be listened-to and that you're part of something.” [Co-Lead] definitely helped the team gel together better.

The Co-Lead Co-Design Group

Acknow ledgem ent s

Hospital m anagem ent & pilot team s Partner organisations:

More inform at ion

tinyurl.com / I ntroducingCoLead

Team values, vision, & mission Team goal setting Role clarity Collective leadership for safety cultures Monitoring & communicating safety performance at team level Risk & safety management at team level

More inform at ion

@CoLeadProject tinyurl.com / CoLeadToolkit tinyurl.com / CoLeadPublications colead@ucd.ie

CHAMPION PARTNER ENABLE DEMONSTRATE www.qualityimprovement.ie @NationalQI

For your information

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Thank you from all the team @QITalktime Roisin.breen@hse.ie Noemi.palacios@hse.ie

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CHAMPION PARTNER ENABLE DEMONSTRATE www.qualityimprovement.ie @NationalQI

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