Rhedir gan School of Medical and Health Sciences

20.000 Credyd neu 10.000 Credyd ECTS

Semester 1 a 2

Trefnydd: Mrs Carol Westwell

The module will equip students will allow the student to develop a critical understanding of the theories of leadership and leadership skills required to facilitate the transition from student to registered professional. The broad outcomes enable module delivery to be responsive to changes in the NHS. The module explores the processes involved with leadership, leading and facilitating the implementation of quality improvement change in healthcare. Drawing on a wider theory, national policy and evidence, the module examines leadership and management, clinical leadership, management of change, theories and frameworks for quality improvement and innovation.

• Leadership in healthcare – styles and theories.
• Change management • Quality Improvement approaches • Innovation theories and frameworks • Innovation in practice, factors influencing innovation and service improvements • Facilitating innovation & change • Acting as a leaders of transformational change • Theories and application of engagement, implementation & sustainability • Human Factors • Decision making • Team working • Mentorship and /or supervision • Challenging and conflicting situations • Healthcare safety • Risk management • Governance

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A- to A* Grade: To achieve an ‘excellent pass’ on the module, students will be required to demonstrate a comprehensive knowledge of and ability to critically evaluate quality improvement methodology, change management and leadership skills in relation to national policy and the application of these skills to the clinical environment, supported by relevant literature.

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B- to B+ Grade : To achieve a ‘good pass’ on the module, students will be required to demonstrate a good knowledge of and a good ability to critically evaluate quality improvement methodology, change management and leadership skills in relation to national policy and the application of these skills to the clinical environment, supported by relevant literature.

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C- to C+ Grade: To achieve a ‘pass’ on the module, students will be required to achieve a minimum of C- grade which requires them to demonstrate some knowledge of and some ability to critically evaluate quality improvement methodology, change management and leadership skills in relation to national policy and the application of these skills to the clinical environment, supported by relevant literature.

1. Critically evaluate and synthesise concepts and processes of leadership and management, change management, facilitators and barriers to change, quality improvement approaches/methodologies in relation to the delivery of healthcare and professional practice.

2. Critically reflect on practice experiences and identify issues which require change through quality improvement and change methodologies.

3. Critically evaluate principles and theories of leadership and management to determine their relevance to the care setting and the provision of healthcare service.

4. Critically analyse the national quality assurance, governance, healthcare safety and quality improvement approaches and their relevance to the clinical situation.

5. Critically synthesise, and apply, national policy to the provision of healthcare in the UK.

Math	Enw	Disgrifiad	Pwysau
	Quality Improvement Initiative		20.00
	Critical Evaluation of Quality Improvement Innovation		80.00

		Oriau
Lecture	Some virtual Lead lectures = 15 x 2 hour lectures in Semester 2 and will include online Virtual blended learning environment	30
Seminar	Seminar group activity = 10 x 1 hour seminars in Semester 2.	10
Private study	Private study for reading, assignment preparation and writing.	100
Individual Project	Directed study, pre reading activities for lead lectures and seminar presentations = 50 hours.	50
Workshop	EBL - Blended learning, Assignment workshop and supervision workshops for assessments.	5
Group Project	On-line discussion board group activity and blogs.	5

• Llythrennedd - Medrusrwydd mewn darllen ac ysgrifennu drwy amrywiaeth o gyfryngau
• Defnyddio cyfrifiaduron - Medrusrwydd wrth ddefnyddio ystod o feddalwedd cyfrifiadurol
• Hunanreolaeth - Gallu gweithio mewn ffordd effeithlon, prydlon a threfnus. Gallu edrych ar ganlyniadau tasgau a digwyddiadau, a barnu lefelau o ansawdd a phwysigrwydd
• Archwilio - Gallu ymchwilio ac ystyried dewisiadau eraill
• Adalw gwybodaeth - Gallu mynd at wahanol ac amrywiol ffynonellau gwybodaeth
• Sgiliau Rhyngbersonol - Gallu gofyn cwestiynau, gwrando'n astud ar atebion a'u harchwilio
• Dadansoddi Beirniadol & Datrys Problem - Gallu dadelfennu a dadansoddi problemau neu sefyllfaoedd cymhleth. Gallu canfod atebion i broblemau drwy ddadansoddiadau ac archwilio posibiliadau
• Ymwybyddiaeth o ddiogelwch - Bod yn ymwybodol o'ch amgylchedd a hyder o ran cadw at reoliadau iechyd a diogelwch
• Cyflwyniad - Gallu cyflwyno gwybodaeth ac esboniadau yn glir i gynulleidfa. Trwy gyfryngau ysgrifenedig neu ar lafar yn glir a hyderus.
• Gwaith Tîm - Gallu cydweithio'n adeiladol ag eraill ar dasg gyffredin, ac/neu fod yn rhan o dîm gweithio o ddydd i ddydd
• Mentora - Gallu cefnogi, helpu, arwain, ysbrydoli ac/neu hyfforddi eraill
• Rheloaeth - Gallu defnyddio, cydlynu a rheoli adnoddau (dynol, ffisegol ac/neu ariannol)
• Dadl - Gallu cyflwyno, trafod a chyfiawnhau barn neu lwybr gweithredu, naill ai gydag unigolyn neu mewn grwˆp ehangach
• Hunanymwybyddiaeth & Ystyried - Bod yn ymwybodol o'ch cryfderau, gwendidau, nodau ac amcanion eich hun. Gallu adolygu ,cloriannu a myfyrio'n rheolaidd ar eich perfformiad eich hun ac eraill.
• Arweinyddiaeth - Gallu arwain a rheoli, datblygu cynlluniau gweithredu ac amcanion, cynnig arweiniad a chyfarwyddyd i eraill, ac ymdopi â'r pwysau sy'n gysylltiedig ag awdurdod o'r fath

Self development of leadership, critical understanding of the theories of leadership, the concept of quality, innovation and quality improvements in healthcare both as a theoretical concept and as a fundamental feature of the health services and healthcare. Responsive to changes in the NHS, use of research evidence for service delivery and development, personal and professional development, IT & literature searching skills, gathering and making sense of healthcare data, measures and apply the principles of data protection, recording information accurately and clearly, presentation skills, teamworking, reflection, self management, ethical principles, patient safety and quality of care, the application of the principles of confidentiality.

Also to develop the skills and knowledge required to facilitate the transition from student to registered professional, the professional requirements for adult nursing practice and to respond to the challenges of effective leadership, implementing leadership for quality improvements and leading innovation.

Goblygiadau o ran adnoddau ar gyfer myfyrwyr

1. Purchase of text books, pens and paper. 2. Photocopying and printing 3. Subscription to internet provider to access BU on-line catalogues and Blackboard from home residence.

Rhestrau Darllen Bangor (Talis)

http://readinglists.bangor.ac.uk/modules/nhs-4415.html

Rhestr ddarllen

1000 Lives. (2014). The Quality Improvement Guide: the improving quality together edition. Wales: 1000 Lives Improvement.

Abdallah, A. (2014). Implementing quality initiatives in healthcare organisations: drivers and challenges. International Journal of Health Care Quality Assurance, 27 (3), 166-181.

Algahtani, A. (2014). Are Leadership and Management Different? A Review. Journal of Management Policies and Practices, 2 (3), 71-82.

Bach,S. & Ellis,P. (2015). Leadership, Management and Team Working in Nursing (Transforming Nursing Practice Series). (2nd ed.) London: Sage Publications.

Barlow, J. (2017) Managing Innovation in Healthcare. New Jersey: World Scientific. Imperial College of London, UK.

Barr, J., & Dowding, L. (2012). Leadership in Healthcare. London: Sage Publications.

Boaden R, Harvey G, Moxham C, Proudlove N.(2008) Quality Improvement: Theory and practice in healthcare. Coventry: NHS Institute for Innovation and Improvement. IHI

Berwick D.M (2014) Promising Care: How We Can Rescue Health Care by Improving It. San Francisco: Jossey-Bass.

Bick D. (2013) Evaluating the Impact of Implementing Evidence-Based Practice Hoboken: Wiley

Daft, R.L. (2014). The Leadership Experience (6th ed.). Boston: Cengage Learning.

Dixon-Woods M, McNicol S, Martin G. (2012) Overcoming challenges to improvement. London: Health Foundation, www.health.org.uk/overcoming-challenges.

Duffy J.R. (2013) Quality Caring in Nursing and Health Systems: Implications for Clinicians, Educators, and Leaders. Psychology. https://doi.org/10.1891/9780826110152

Enddley., D.S. (2010) Innovation in Action: A Practical Guide for Healthcare Teams. BJM Books, Wiley Blackwell Publications.

Fitzgerald L., Ferlie E., McGivern G, Buchanan D. (2013) Distributed leadership patterns and service improvement: Evidence and argument from English healthcare. The Leadership Quarterly 24 (22)p.227-239

Francis, R. (2013). Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. London: The Stationery Office.

Glasgow J. (2011). Introduction to Lean and Six Sigma Approaches to Quality Improvement. Agency for Healthcare Research and Quality. Available at http://www.qualitymeasures.ahrq.gov/expert/expert-commentary.aspx?id=32943

Giltinane, C.L. (2013). Leadership Styles and Theories. Nursing Standard, 27 (41), 35-39.

Gopee, N., & Galloway, J. (2017). Leadership and Management in Healthcare (3rd ed.). London: Sage Publications.

Hewitt-Taylor, J. (2013) Understanding and managing change in healthcare: a step by step guide. Basingstoke: Palgrave Macmillan.

Huber, D. (2010). Leadership and nursing care management (4th ed.). Philadelphia: W. B. Saunders.

Jasper, M. & Jumma, M. (eds.) (2005). Effective healthcare leadership. Oxford: Blackwell Publishing

Kelly, C.J., & Young, A.J. (2017). Promoting innovation in healthcare. Future Healthcare Journal. 4, 2, p121-125.

Klein, R. (2013). The new politics of the NHS: from creation to reinvention. (7th rev. ed.). Milton Keynes: Radcliffe.

Kimble, L., & Massoud, M.R. (2017) WHAT DO WE MEAN BY INNOVATION IN HEALTHCARE? https://www.emjreviews.com/innovations/article/what-do-we-mean-by-innovation-in-healthcare/

Kotter J. P. (2012). Leading change. Boston: Harvard Business.

Langley, G., Moen, R., Nolan, K., Nolan, T.W., Norman, C., & Provost, L. (2009). The Improvement Guide: A practical approach to enhancing organizational performance. Jossey-Bass, San Francisco.

Martin, G.P., Sutton, E., Willars, J. & Dixon-Woods, M. (2013). Frameworks for change in healthcare organisations: a formative evaluation of the NHS change model. Health Services Management Research, 26 (2) 65-75.

Marquis, B.L., & Huston, C.J. (2012). Leadership Roles and Management Functions in Nursing, Theory and Application (6th ed.). London: Wolters Kluwer/ Lippincott Williams & Wilkins.

National Institute for Health Research Invention for Innovation (2017). www.nihr.ac.uk/funding-and-support/funding-for-research-studies/how-to-apply/research-programmes/invention-for-innovation/

Nursing and Midwifery Council. (2015). The Code: Standards of conduct, performance and ethics for nurses and midwives. London: NMC.

Northouse, P.G. (2010). Leadership Theory and Practice (5th ed.). London: Sage Publications. Taylor, G. & Hawley, H. (2010) Key Debates in Healthcare. Maidenhead: Open University Press.

McSherry R. (2011) Clinical Governance: A Guide to Implementation for Healthcare Professionals Hoboken: Wiley & Sons.

Omachonu, V.K., & Einspruch, N.G (2010). Innovation in Healthcare Delivery Systems: A Conceptual Framework. http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.1088.4711&rep=rep1&type=pdf

Øvretveit, J. (2009). Does improving quality save money? A review of the evidence of which improvements to quality reduce costs to health service providers. Health Foundation, London.

Rycroft-Malone, J., & Bucknall, T. (2010). Models and Frameworks for Implementing Evidence-Based Practice: Linking Evidence to Action Oxford: Wiley-Blackwell

Singh., V.K, & Lillrank., P (2015) Innovations in Healthcare Management: Cost-Effective and Sustainable Solutions. CRC Press, Taylor and Francis Group Publications.

Stirk., S. and Sanderson., H. (2012) Creating person-centred organisations: strategies and tools for managing change in health, social care and the voluntary sector. London: Jessica Kingsley.

The Health Foundation. (2013). Quality improvement made simple. London: The Health Foundation.

The Health Foundation. (2013) Spreading innovation in healthcare. https://www.health.org.uk/blogs/spreading-innovation-in-healthcare?gclid=EAIaIQobChMI18_p2veP8wIVpkaRBR11eA7DEAAYAyAAEgLH-PD_BwE

Yen-Wei Chen., Y-W., Torro., C., Tanaka., S., Howlett., R.J., & Jain., L.C. (2015) Innovation in Medicine and Healthcare (Smart Innovation, Systems and Technologies).Springer Publications, KES International, Shoreham-By-Sea. UK

Web Sites: Betsi Cadwalader University Health Board http://www.wales.nhs.uk/sitesplus/861/home e-Library for Health http://www.wales.nhs.uk/sitesplus/878/home Health and Safety Executive (HSE) http://www.hse.gov.uk/ National Institute for Health and Clinical Excellence http://www.nice.org.uk/ National Leadership and Innovation Agency for Health (NLIAH) http://www.nliah.wales.nhs.uk/ NHS Wales http://www.wales.nhs.uk/ Nursing & Midwifery Council http://www.nmc-uk.org/ Welsh Government http://wales.gov.uk 1000 Lives Plus http://www.1000livesplus.wales.nhs.uk/home National Improvement Programme http://www.1000livesplus.wales.nhs.uk/ Francis Report http://www.midstaffsinquiry.com/pressrelease.html Berwick’s Report https://www.gov.uk/government/publications/berwick-review-into-patient-safety