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

The Collective Leadership for Safety Cultures Toolkit @QITALKTIME 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 • Sound: Computer or dial in: Telephone no: 01-5260058 Event number:849 765 329# • Chat box function – Comments/Ideas – Keep the questions coming • Twitter: @QITalktime CHAMPION PARTNER ENABLE DEMONSTRATE www.qualityimprovement.ie @NationalQI

Collective Leadership for Safety Cultures Toolkit Steve Macdonald Research Scientist, Health Systems Team School of Nursing, Midwifery, and Health Systems, University College Dublin

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 5 -year program m e at UCD researching the im pact of W hat is Co-Lead? collective leadership on healthcare team perform ance. Support quality and safety cultures in healthcare Co-Lead aim s through developm ent of a new m odel of leadership that is associated w ith effective team perform ance. Approach Developing the team as a dynam ic leadership entity. 1 . Leadership developm ent Priority areas 2 . I m proving quality and patient safety

W hat is collect ive W hat is safet y leadership? cult ure? Collective leadership is the interaction Beliefs, perceptions, and values that of team m em bers to lead the team by em ployees share in relation to risks sharing in leadership responsibilities. 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 NEW Collective Leadership m indset m indset

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

W hy is collect ive leadership needed? Poorly im plem ented hierarchical leadership can contribute tow ards patient safety failures, blam e cultures, under-reporting of errors etc. The challenge • 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 on learning and im proving from failure.

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

The Co- Lead Toolkit The Co-Lead Toolkit is a set of m odules designed to enhance collective leadership am ong m ultidisciplinary healthcare team s. Co-designed by health professionals, quality and safety experts, patient advocates, and researchers. Content based on synthesis of latest evidence. tinyurl.com / CoLeadPublications 6 Core m odules 1 3 Targeted m odules Free, open-access resource.

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

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

How is a t ypical m odule run? I ntroduction/ I nform ation Discussion/ Recording Brief icebreaker group w ork outputs/ feedback planning 1 hour

Exam ple support s Supports for evaluating and m onitoring im provem ents in team Monitoring and learning tools perform ance and safety practices. Supports to allow better, m ore efficient com m unication am ong Resources for com m unication m em bers of the m ultidisciplinary team . Supports to foster m ore Team w orking tools 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 PATI ENT SAFETY W ELLBEI NG SUSTAI NI NG I MPROVEMENTS

Exam ple cont ent 1 M onit oring & lea rning t ools Team m em bers w ork collaboratively to im prove Module focus the patient safety environm ent. Group w ork to reflect on and understand w hat m easures of Achieved by 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 I ntroduce team m em bers to a graded Module focus assertiveness tool that allow s them to raise safety concerns w ith colleagues. Video and facilitated discussion to build Achieved by 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 Help team s create an environm ent w here staff can share their concerns and trust other team Module focus m em bers to support them in their w ork. Group w ork and facilitated discussion for team Achieved by m em bers to understand each others’ strengths and areas for further developm ent.

Team w orking tool And…?

Get t he t oolkit tinyurl.com / CoLeadToolkit (www.ucd.ie/ collectiveleadership/ resourcehub/ toolkit)

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

Pilot t eam feedback “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. “Definitely it improved service for patient outcomes. That's always what it's about, at the end of the day.”

Acknow ledgem ent s The Co-Lead Co-Design Group Hospital m anagem ent & pilot team s Partner organisations:

More inform at ion tinyurl.com / I ntroducingCoLead Team values, vision, & Team goal setting Role clarity Collective leadership Risk & safety Monitoring & mission for safety cultures management at team communicating safety level performance at team level

More inform at ion colead@ucd.ie tinyurl.com / CoLeadToolkit tinyurl.com / CoLeadPublications @CoLeadProject

For your information CHAMPION PARTNER ENABLE DEMONSTRATE www.qualityimprovement.ie @NationalQI

Follow us on Twitter @QITalktime Missed a webinar – Don’t worry you can watch recorded webinars on HSEQID QITalktime page We will be in touch soon with a new year schedule. Thank you from all the team @QITalktime Roisin.breen@hse.ie Noemi.palacios@hse.ie 33

Twitter: @NationalQI Web: www.qualityimprovement.ie Email: Phone: CHAMPION PARTNER ENABLE DEMONSTRATE www.qualityimprovement.ie @NationalQI