Applying Clinical Leadership to I-CHARP implementation

As a middle manager and clinical leader in I-CHARP, you have a key role in supporting the translation of evidence about dementia rehabilitation into practice. In doing so, you will be applying leadership and management capabilities to support evidence-based practice.

The Australian Aged Care Leadership Capability Framework

According to Martiniuk et al., (2020)

“Capability needs to be thought of as a dynamic performance. It changes with context and time. This is in contrast to competence, which is typically static (ie the individual has the skills to perform). Capability bridges the external (observable actions/skills) as well as the internal (not readily observable, eg values, motivation, wellbeing).

The Australian Aged Care Leadership Capability Framework presents the capabilities required of leaders in aged care.

Read the Australian Aged Care Leadership Capability Framework. Focus on the domains and behavioural indicators you see as important to your role in I-CHARP.

In the discussion forum, identify what you see as the 2 most important domains related to your role in I-CHARP and list the 2 behavioural indicators that you see as most important for each of these domains. Share the reasons you chose these domains and indicators.

Supporting evidence-based practice

One of the roles you have as a middle manager in I-CHARP is to support evidence-based practice.

Evidence-based practice (EBP) involves translating evidence into practice, also known as knowledge translation, and ensuring that stakeholders (clinicians, staff, residents and their families) are aware of and use research evidence to inform their decision-making.

The goals of EBP are to:

  • Provide practicing clinicians with evidence-based data
  • Resolve problems in the clinical setting
  • Achieve excellence in care delivery
  • Introduce innovation
  • Reduce variations in clinical care
  • Assist with efficient and effective decision-making

EBP provides opportunity to:

  • Use   best evidence to support clinical governance ( ie quality and safety in care)
  • Resolve practice problems
  • Achieve excellence in practice
  • Introduce innovation in practice.

Watch this video for an overview of EBP and its importance to clinical practice.

As a middle manager, implementing EBP requires you have a culture and mindset of inquiry and excellence and the ability to

  • read critically
  • ask questions
  • understand approaches to research
  • distinguish levels of evidence
  • translate research evidence into practice.

This video provides an overview of why EBP is important for managers (although the focus is HR managers it is applicable to all managers).  

I-CHARP is an example of evidence-based practice in action. I-CHARP has been designed based on research evidence about interventions that are effective for reablement of older people living with dementia; it requires clinical expertise to deliver it and it is focused on patient preferences, values and circumstances.

The research study about I-CHARP is an example of implementation research. This is the study of the application of research and evidence-based knowledge into practice. In introducing I-CHARP in the care home and participating in the research you are helping contribute to the knowledge about how best to deliver I-CHARP in the ‘real-world’. The important role of middle managers in implementing practice change has been demonstrated through research.

ACTIVITY

Review this diagram from Boutcher et al.,(2022). Share your thoughts about how these may impact your role in I-CHARP and what if anything you would like support in doing.

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