Three steps to positive practice is a newly-published framework designed to help health and social care professionals to guide professional, ethical and legal decision-making when considering the use of potentially restrictive practices.
A multi-disciplinary team, led by RCN Northern Ireland, worked together to develop this simple three step cyclical framework. It was developed so that anyone working in health and social care would be able to use the process. The framework emphasises a focus on human rights and the core principles which must shape practices and services to put the person at the centre of the delivery of health and social care.
Rosaline Kelly, Senior Professional Development Officer, RCN Northern Ireland said:
“This easy to follow three step process will be helpful in implementing a rights-based approach when working with individuals who may be subject to restrictive practices. The framework empowers all staff to ask questions if they are not satisfied that a proposed intervention will be in the person’s best interests and to ensure that adjustments are made. It will provide staff with the support and reassurance that any intervention used has been considered, planned and implemented legally and ethically.”
This is not a framework owned solely by those working in mental health or learning disability services and can be applied in settings throughout the delivery of health care.
Professor Dame Donna Kinnair, Director of Nursing, Policy and Practice, at the RCN said:
“As nurses, we must act first and foremost to care for and safeguard those in our care. We must display a commitment to the standards of practice and behaviours set out in the Code, demonstrate professionalism and integrity, and work within professional, ethical and legal frameworks.
“The RCN is committed to ensuring that a rights-based approach to delivering care, treatment and support is embedded in everyday nursing practice, by championing the core rights everyone is entitled to, and the core principles that shape nursing practice and services.”
This framework will be helpful to any health and social care professional who works in services where individuals may be subject to restrictive practices. It will provide staff with the support and reassurance that any intervention used has been considered, planned and implemented legally and ethically.