Karen Fawkes – Placement Activity

Karen Fawkes is a Nurse Practitioner from Bethanie on Pier Aged Care Service WA who attended placement and created an education resource to support other Nurse Practitioners prescribe medication for end-of-life care.  Karen has kindly shared…

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Renee Kelly – Placement Reflection

Renee attended a PEPA Placement with the goals to learn more about communication in palliative care and end of life care.  Renee observed many instances where communication was focused on patient medication, chemotherapy drugs and uses,…

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Jocelyn Lee – Placement Reflection

Jocelyn’s goal of placement was to get a ‘birds-eye’ view of metropolitan palliative care providers that patients are referred to in order to better equip myself with external knowledge and be better informed about services in…

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Blake Currie – Placement Outcome

Blake completed a PEPA placement with a very clear outline of what he wanted the outcome to be.  Blake wanted to to have open discussions about advocacy services for patients and families  so that there is…

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Rebecca Warren – Placement Reflection

Rebecca completed a PEPA placement so as to enhance her knowledge of Palliative aspects of care that are delivered throughout the acute care, community care and hospice settings within WA.  This is vital to understand for…

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Jodie Tassell – Placement Reflection and Outcome

Jodie completed her placement as her workplace was developing a proposal for their own Advanced Care Plan (ACP) clinic to target the older adult cohort it services. Jodie believes that her PEPA placement will continue to…

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Neelam Medtiya- Placement Reflection

Neelam completed her placement with the goals focused on: Learning how to apply different types of assessment tools like PCOC and SPICT and knowledge of their evaluations outcomes in different settings where they have been implemented.…

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Peta Virtue – Placement Reflection and Outcome

Peta has been nursing for 30 years throughout various areas of health and attended her placement as she wanted to increase her knowledge about palliative care and end of life care.  Peta notes that she has…

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Benjamin Sinclair – Placement Outcome

Benjamin completed his 3 days of placement so as he could understand more about palliative care considerations for children and families who are in an Emergency Department (ED) environment.  Benjamin notes that “in the ED palliative…

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Emily Nielsen – Placement Reflection

Emily enjoyed her placement and was “grateful to see a hospice ward as I have never been to one”.  Emily took time to see how the hospice, hospital and community care all intersect for patient care. …

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Paula Taylor – Placement Reflection and Outcome

Paula attended a placement as although she is not a clinician it is vital in her role that she understands What drugs and treatment are being administered by the person’s treating doctor, the palliative care team…

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Rebecca Connor – Placement Reflection and Outcome

Rebecca was motivated to attend a PEPA placement so as she could improve her communication to patients and families in regards to care trajectories of patients requiring palliative care and end of life care.  Rebecca noticed…

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CoPs provide an environment in which professionals can share their practice experiences, develop and discuss areas of interests and build a sense of community (2).

A community of practice was a term first coined by Etienne Wenger, an education practitioner and academic, who described CoP as “Groups of people who share a passion for something that they know how to do and who interact regularly to learn how to do it better”. The successful CoP requires members to be participatory and is essentially led by its members. It is the member’s responsibility to ensure that the CoP stays relevant, engaging and offers value to the domain of interest (3).

CoPs were initially developed to exchange information and knowledge but more recently are being used as tools to improve clinical and public health practice and to facilitate the implementation of evidence-based practice (2). 

In the healthcare field, CoPs have been promoted as a tool to (4):

  • Cross knowledge boundaries (all healthcare workforce)
  • Generate and manage a body of knowledge for members to draw on (palliative care)
  • Promote standardisation of practice (evidenced based palliative care)
  • Innovate and create new ideas, knowledge and practices 

In developing a CoP, Wegner and colleagues identified three key elements to be included (5,6):

  • Community – to enable interactions, discussions, collaborative activities and relationship building (PEPA Community)
  • Shared domain of interest – a shared purpose or goal of the group (palliative care knowledge, skill and confidence)
  • Shared practice i.e. repertoire of resources, techniques, tools, experiences, processes or practice (palliative care).

For more information about the PEPA CoP Terms of Reference (ToR) click the link at the top of this page

As a PEPA participant completes a placement activity their activity overview (PEPA Completion Form 3 – Workplace Activity Report) it will be written to form a Blog by the PEPA Manager in their state and territory and loaded to the PEPA Placement site for you to comment on later.

  1. Wenger E, McDermott R, Snyder W. Cultivating Communities of Practice: a Guide to Managing knowledge (Harvard Business School Press, Boston, MA). Amy HI Lee received the MBA degree from the University of British Columbia, Canada, in. 2002.
  2. CDC. Available from: http://www.cdc.gov/phcommunities/resourcekit/intro/index.html
  3. Wenger E, McDermott R, Snyder WM. Seven principles for cultivating communities of practice. Cultivating Communities of Practice: A Guide to Managing Knowledge. 2002.
  4. Ranmuthugala G, Plumb JJ, Cunningham FC, Georgiou A, Westbrook JI, Braithwaite J. How and why are communities of practice established in the healthcare sector? A systematic review of the literature. BMC health services research. 2011;11(1):273.
  5. Wenger E. Communities of practice: Learning as a social system. Systems thinker. 1998;9(5):2‐3.
  6. Li LC, Grimshaw JM, Nielsen C, Judd M, Coyte PC, Graham ID. Evolution of Wenger’s concept of community of practice. Implementation Science. 2009;4(1):11.

 

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