Nick Andrews: Co-production through experience-based co-design, community of enquiry and most significant change techniques
- 1. The Developing Evidence- Enriched Practice (DEEP) programme Nick Andrews, Wales School for Social Care Research Swansea University
- 2. The heart of the DEEP approach Paulo Freire suggests that the key purpose of learning is to create 'a world in which it will be easier to love’ (Freire 1972, p6).
- 3. The principles of DEEP • Appreciative • Relationship-centred • Values driven – with a focus on social justice • Valuing and including diverse knowledges • Democratic • Use of narrative • Emphasis on dialogue and social pedagogy – starting with ‘what matters’ to participants ‘Responding to others as if they really matter and building dispositions to seek out, value and learn from the differences between us’ Rupert Higham, Cambridge Educational Dialogue Research Group
- 4. The five elements of the Developing Evidence-Enriched Practice (DEEP) approach Value and empower people Value and use a range of evidence Present evidence well Sort things that get in the way Talk and think together well
- 5. Some of the techniques we use • Experience-based Co- design (Bate and Robert 2007) • Exploratory talk and Inter-think (Littleton and Mercer 2007) • Community of Enquiry (Lipman 2004) • Most Significant Change (Davies and Dart 2007)
- 6. Magic moments and tragic moments
- 7. Supporting creativity and taking risks
- 8. References• Andrews, N., Gabbay, J., le May, A., Miller, E., O’Neill, M. and Petch, A. (2015) Developing Evidence Enriched Practice in Health and Social Care with Older People, York, Joseph Rowntree Foundation • Bate, P. and Robert. G. (2007) Bringing user experience to healthcare improvement: The concepts, methods and practices of experience-based design, Abingdon, Radcliffe • Blood, I. (2013) A Better Life: Valuing our later years, York, Joseph Rowntree Foundation • Cahn, E. (2000) No More Throw-away People: The Co-production Imperative, Washington, Essential Book • Davies, Hawkes, Irving, Lloyd, and Oliver (2010) Dr Davies, His Book Tales of a Country Doctor - Knighton Powys, Almeley, Logaston Press • Dawes, L. (2012) Talking Points: Discussion Activities in the Primary Classroom, Abingdon, Routledge • Flyvbjerg, B., Landman, T. and Schram, S. (2016) Tension Points: Learning to Make Social Science Matter, Critical Policy Studies, Forthcoming. Available at SSRN: https://ssrn.com/abstract=2721321 • Flybjerg, B, Landmann, T. and Schram, S. (2016) Critical Social Policy (forthcoming) • Freire, P. (1972) Pedagogy of the Oppressed, New York, Herder and Herder • Gerrish, K., Guillaume, L., Kirshbaum, M., McDonnell, A., Tod, A. & Nolan, M. (2011), ‘Factors influencing the contribution of advanced practice nurses to promoting evidence-based practice among front-line nurses: findings from a cross-sectional survey’, Journal of Advanced Nursing, 67(5), 1079-90 • Hill, L., Brandeau, G., Truelove, E. And Lineback, K. (2014) Collective Genius: The Art and Practice of Leading Innovation, Boston, Harvard Business School Publishing • Horton, M. and Freire,P. (1990) We Make the Road by Walking: Conversations on Education and Social Change, Philadelphia, Temple University Press • Kitwood, T. (1997) Dementia Reconsidered: The person comes first, Buckingham, Open University Press • Locock L, Robert G, Boaz A, Vougioukalou S, Shuldham C, Fielden J, et al. Testing accelerated experience-based co-design: a qualitative study of using a national archive of patient experience narrative interviews to promote rapid patient-centred service improvement. Health Serv Deliv Res 2014;2(4) • Nolan, M., Brown, J., Davies,S., Nolan, J. and Keady, J. (2006). The Senses Framework: improving care for older people through a relationship- centred approach. Getting Research into Practice (GRiP) Report No 2. Project Report, Sheffield, University of Sheffield • Mercer, N. & Littleton, K. (2007) Dialogue and the Development of Children's Thinking: a sociocultural approach, London, Routledge. • Patterson, M, Nolan, M, Rick, J, Brown, J & Adams, R 2010, From Metrics to Meaning: Culture Change and Quality of Acute Hospital Care for Older People. Report for the National CO-ordinating Centre for NHS Service Delivery & Organisation (NCCSDO), NCCSDO • Post, S. (2000) The Moral Challenge of Alzheimer Disease: Ethical Issues from Diagnosis to Dying, Baltimore, John Hopkins University Press • Rogers, C. (1961) On becoming a person, Boston, Houghton Mifflin • Ryff, C. D., Singer, B. H., & Love, G. D. (2004). Positive health: Connecting well-being with biology. Philosophical Transactions of the Royal Society of London, B Biological Sciences, 359, 1383-1394. • Seddon, J. (2008) Systems Thinking in the Public Sector: The Failure of the Reform Regime... and a Manifesto for a Better Way, Axminster, Triarchy Press • Welsh Government (2011) Sustainable Social Services: A Framework for Action, Cardiff, Welsh Government • Williams, R. (2016) Being Disciples: Essentials of the Christian Life, London, SPCK
- 9. Further information Full report and 4-page summary: http://www.jrf.org.uk/publications/developing- evidence-enriched-practice-health-and-social- care-older-people DEEP project on-line resource: http://deep-resources.chrismog.co.uk