Practice Development in Nursing and Healthcare 2e
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In its first edition, Practice Development in Nursing made an important contribution to understanding practice development and its core components. Now fully updated to take into account the many developments in the field, the second edition continues to fill an important gap in the market for an accessible, practical text on what remains a key issue for all members of the healthcare team globally.

Practice Development in Nursing and Healthcare explores the basis of practice development and its aims, implementation and impact on healthcare, to enable readers to be confident in their approaches to practice development. It is aimed at healthcare professionals in a variety of roles (for example clinical practice, education, research and quality improvement) and students, as well as those with a primary practice development role, in order to enable them to effectively and knowledgeably develop practice and the practice of others.

Key features:

  • New updated edition of a seminal text in the field, including significant new material
  • Relevance to the entire healthcare team
  • Accessible and practical in style, with case studies, scenarios and examples throughout
  • Edited by and with contributions from experts in the field
  • Fully updated to include the latest research
  • Supported by a strong evidence base


Brendan McCormack is Director of the Institute of Nursing Research and Head of the Person-Centred Practice Research Centre, University of Ulster, Northern Ireland, UK. He is Professor II, Buskerud University College, Drammen, Norway; Adjunct Professor of Nursing, University of Technology, Sydney, Austalia; Adjunct Professor of Nursing, Faculty of Medicine, Nursing and Health Care, Monash University, Melbourne, Australia; Visiting Professor, School of Medicine and Dentistry, University of Aberdeen, UK.

Kim Manley is Co-Director, England Centre for Practice Development and Visiting Professor, Canterbury Christ Church University, UK; Associate Director, Practice Development, Transformational Research and Development, East Kent Hospitals NHS Foundation Trust, UK; Visiting Professor, University of Surrey, UK.

Angie Titchen is Visiting Professor, University of Ulster, Northern Ireland, UK; Adjunct Professor, Charles Sturt University, Australia; Principle Investigator, Knowledge Centre for Evidence-Based Practice, Fontys University of Applied Sciences, The Netherlands; Independent Practice Development and Research Consultant.


Contributors vii

Preface x

Acknowledgements xiii

1 Introduction 1
Brendan McCormack, Kim Manley and Angie Titchen

2 Learning to be a Practice Developer 18
Kate Sanders, Jo Odell and Jonathan Webster

3 What is Practice Development and What are the Starting Points? 45
Kim Manley, Angie Titchen and Brendan McCormack

4 Approaches to Practice Development 66
Theresa Shaw

5 A Case Study of Practice Development ‘The Practice Development Journey’ 88
Brendan McCormack and Jan Dewing

6 Getting Going with Facilitation Skills in Practice Development 109
Angie Titchen, Jan Dewing and Kim Manley

7 How You Might Use PARIHS to Deliver Safe and Effective Care 130
Jo Rycroft-Malone

8 Working Towards a Culture of Effectiveness in theWorkplace 146
Kim Manley, Annette Solman and Carrie Jackson

9 Evaluation Approaches for Practice Development: Contemporary Perspectives 169
Sally Hardy, Val Wilson and Tanya McCance

10 Outcome Evaluation in the Development of Person-Centred Practice 190
Brendan McCormack, Tanya McCance and Jill Maben

11 Practice Development as Radical Gardening: Enabling Creativity and Innovation 212
Angie Titchen and Ann McMahon

12 Building Capacity for Transformation through Practice Development: Two Case Studies in NHS Trusts, England 233
Jan Dewing, Jill Down and IrenaAnna Frei

13 The Use of Action Hypotheses to Demonstrate Practice Development Strategies in Action 252
Kim Manley, Randal Parlour and Joan Yalden

14 The Contextual Web of Practice Development 275
Brendan McCormack, Angie Titchen and Kim Manley

Index 295


“Everyone who has a passion for the development of nursing practice, and who wants further insights and tools and techniques to use. The book does lends itself to staff who are able to influence and implement change e.g. ward sister, deputy ward sister, clinical nurse specialist’s, district nurses and health visitors.”  (Nursing Times, 9 July 2014)

“This is a wonderful book that will inform the continuing evolution of healthcare. It is current and evidence-based, and is a source of pertinent information for all members of the healthcare team. The second edition is necessary to remain current.”  (Doody’s, 28 February 2014)

“Now available in a second edition, this updated guide offers a valuable insight into what practice development is, what it is not, its core components, the underpinning theory and the practice development journey.”  (Nursing Standard, 16 July 2013)