NEGOTIATED LEARNING OUTCOMES

Negotiated Learning Outcomes

Negotiated Learning Outcomes

Introduction

This assignment will look at the meaning of “outcomes", and how they evaluated, the difference between targets, outputs and outcomes, what they used or can be used for from a range of perspectives linking in with national drivers and policies; and in particular the Government's agenda in terms of Liberating the NHS. The assignment will also give an overview of a pilot project that has recently been developed, designed and implemented; and how outcomes used to show how using evaluation techniques can improve the patient's experiences of services and to make a business case for its full implementation in the future.

Discussion

Since the Coalition Government's election back in May 2010, the Health Secretary Andrew Lansley has been driving forward changes to the NHS on a scale that has never been seen before since the establishment of the NHS back in 1948. His ideas are that GPs should be the people to commission services as they are best placed to understand the needs of their patients/populations, but also to put patients at the heart of all health services - Department of Health (2010) Equity and Excellence: Liberating the NHS. He has also set out that the NHS should move away from the nationally set targets such as waiting times which can have significant negative impacts on clinical priorities and that there should be a move towards the delivery of better health outcomes - Department of Health (2010) Liberating the NHS: Transparency in outcomes - a framework for the NHS - A consultation on proposals. The Department of Health (2010) Liberating the NHS: Legislative framework also talks about there needing to be a cultural shift away from measuring outputs and performance management against targets which can “get in the way of patient care” to “focus on better outcomes for people”. The idea of “no decision about me without me” will give patients and their carers a greater say in the health care they receive; and the paper goes on to say that this will build on the work already started under the personification agenda - “service users are empowered; making decisions about the services that best meet their needs”.

The leadership of nurses in research academic is essential to design and make the delivery of health care safe and effective. In addition, the front-line nurses in care patients are best placed to identify relevant phenomena in clinical and research questions. The ability of nurses contribute to the knowledge base by changing the security patient through research depends on several critical factors, including, including the possession of skills required to conduct research and translate the empirical findings, organizational commitment to participation nurses in research as well as the availability of funding for research projects on patient safety. Approaches to strengthen research capacity, defined as activities designed to improve the ability within a discipline or a professional group to undertake research quality, must address strategically to be successful.

Liberating the NHS

The NHS is one of the most cherished of ...