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Instructions
This self assessment tool can be used to think ahead about an initiative you want to implement, or can help you reflect on a previous initiative.
Answer questions 1 - 7 BEFORE you go into your group.
Use the detailed information in your handout explaining evidence, context, and facilitation to help you decide on your responses.
When you have calculated your implementation scores, you are ready to share it with your group members.
Discuss in your group:
Common influences barriers and facilitators
Lessons learnt
What you would do differently next time based on your responses or how you are planning to implement
Summarise these on the flip chart ready to share with the whole group.
Think of one clinical, organisational or service issue where you have tried to bring about an improvement or an example of an issue/idea that you would like to implement.
Please write it down:
The issue/topic I have been/am involved in is:
Think about the type and strength of the EVIDENCE that was/is underpinning the issue/topic/initiative - please indicate this with X on the following 10 point scales:
Research (R)
LOW HIGH
1 2 3 4 5 6 7 8 9 10
Clinical Experience (CE)
LOW HIGH
1 2 3 4 5 6 7 8 9 10
Patient Experience (PE)
LOW HIGH
1 2 3 4 5 6 7 8 9 10
Local data/information (LI)
LOW HIGH
1 2 3 4 5 6 7 8 9 10
3. Now think about the character and receptiveness of the environment or setting (CONTEXT) in which you were/are trying to implement the change - please indicate this with X on the following 10 point scales:
Culture (Cu)
LOW HIGH
1 2 3 4 5 6 7 8 9 10
Leadership (L)
LOW HIGH
1 2 3 4 5 6 7 8 9 10
Evaluation (Ev)
LOW HIGH
1 2 3 4 5 6 7 8 9 10
4. Did/will you or someone else facilitate the implementation or change process? (FACILITATION):
Please tick: Yes No
What type of facilitation did you receive or give/what type of facilitation do you think might be appropriate for this initiative?
Please indicate this with X on the following scales:
Purpose (P)
Role (R)
DOING FOR OTHERS ENABLING OTHERS
Skills & attributes (S&A)
TASK - DOING FOR OTHERS HOLISTIC - ENABLING OTHERS
5. Summary implementation scores
Evidence R+CE+PE+LI =
4 1 10
Context Cu+L+Ev =
3 1 10
Facilitation
Look at where you have marked Xs on the lines above, and put a X on the line below which best summarises the appropriateness of the FACILIATION you received/provided/plan to provide.
LOW HIGH
6. Present your summaries as an equation where:
Low (L) and High (H)
Circle your equation:
1 = HE, LC, LF
2 = HE, LC, HF
3 = HE, HC, LF
4 = HE, HC, HF
5 = LE, LC, LF
6 = LE, LC, HF
7 = LE, HC, LF
8 = LE, HC, HF
7. If you are reflecting on a previous initiative - decide whether your implementation was successful, please tick:
Successful Unsuccessful
Then answer either (a) or (b) below:
a) Why do you think it was successful?
...
...
...
b) Why was it not successful?
...
...
...
8) In your group, discuss the answers to questions 6,7, and 8
Summarise common facilitators, barriers, and lessons that have been learnt from your shared experiences. Be prepared to share these with the rest of the group.
Thank you!
PAGE
PAGE 1
( PARIHS Team
( RCN Institute
Appropriate methods for facilitation
No mechanisms or inappropriate facilitation
HOLISTIC
Focus on people/processes and task
TASK
Discrete, defined activity (ies)
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