Communities of Practice CAOTACE实践社区 caotace.pptVIP

Communities of Practice What, Why and How Leann Merla CAOT June 4, 2009 Outline What: Definitions and structure Why: Benefits and relevance to OT Our experience How: Different structures Requirements Template Definitions Communities of practice are groups of people who share a concern or a passion for something they do and learn how to do it better as they interact regularly. Wenger, 2008 Individuals engaged in mutual endeavors, associated with a joint enterprise, with a shared repertoire and history Lave Wenger, in Davis, 2006 Benefits New competencies and procedures learned McDonald and Viehbeck, 2007; Garcia and Dorohovich, 2005 Exchange of tacit knowledge and “histories of learning” Parboosingh, 2002 Development of professional identity Davis, 2006, Plak, 2006 Cost effective Parboosingh, 2002 Enhanced job satisfaction Recruitment and retention LHSC Experience Multi site tertiary care teaching hospital Inpatient and Outpatient physical and mental health 32 FTE OT’s and 6.5 OTA’s Matrix model of management with a 1.0 Professional Practice Leader and 1.0 Clinical Specialist LHSC Experience Hospitals amalgamated in 1995 Program management introduced 1998 Staff identified concern regarding loss of “OT identity”, fragmentation of profession Key issues identified at all staff retreat in 1998 Communication Professional development Professional identity Working relationships Structure developed to offer “meaning, learning, and a sense of community to peers in the midst of organizational change” Combination of formal QM structure and strategies to provide opportunities for informal communication, sharing of information Quality Management Structure - LHSC Used a QM focus to ensure support Professional Practice Steering Committee Task Teams Practice Standards, Practice Development, Evidence Based Practice Ad Hoc Working Groups Infomed, OT Month, Website, Communication Additional Strategies OT newsletter Joint staff meetings 2x/year Monthly staff meetings