CareSearch palliative care knowledge network - Logo CareSearch Home
  • Login
  • |
  • Feedback
  • |
  • Email Page:
  • |
  • Font size:  Normal TextMedium TextLarge Text
  • Search

Working Together Change Framework (Nurses HUB)

CareSearch, PCOC and NSAP were involved in this collaborative project whereby an aligned approach to facilitate change management was developed in the form of a ‘Working Together Change Framework’ (WTCF). This change framework was disseminated via a series of workshops ‘A structured Approach to Evidence Based Quality Improvement for Palliative Care’ conducted nationally. The workshops were planned, implemented and evaluated throughout 2012/13. [1] 


The workshops were facilitated by staff from all three projects and included: a presentation on the WTCF framework; the concepts behind change management and quality improvement; and CareSearch evidence summaries. Formal presentations also included information on a mock palliative care service, drawing on hypothetical PCOC and NSAP reports. [1]

The workshops focused on one of two topics: pain or carer support, both of which had been identified by the 3 projects as high-priority issues. 

Following the didactic presentations the attendees were then provided with materials which enabled them to plan a QI approach. They used templates and the examples provided which helped to step them through the process that they would then potentially undertake within their own service. They did this within their table / service groups before reviewing the proposed approaches as a group.

Workshop Resources

The resources that were developed for the workshops are provided here, to enable individuals, services or organisations to use this approach to QI. These include:

The presentation at the workshops

  1. The workshop power point steps you through the framework for change – it provides background and context to what is available here


  1. WTCF priority List – this template can help you to prioritise any problems identified in your service relative to impact and challenge
  2. Six strategic questions for a specific change management Activity – this steps you through the process once you have a problem to tackle
  3. Once the problem has been identified you need to look at the potential changes that could be made and how these changes could be measured (allowing you to see what has been achieved). Examples are provided below:

This project represents one step in building awareness about the need for a structured and planned approach to QI and the role and contribution of evidence in QI processes.


  1. Tieman J, Rawlings D, Taylor J, Adams A, Mills S, Vaz H, et al. Supporting service change in palliative care: a framework approach. Int J Palliat Nurs. 2014. 20(7):349-56. 

Related CareSearch Pages

International Nurses Day 2014
A factsheet on Research, Evidence and Quality Improvement

Nurses Hub
EBP/ QI/ Research / Audit

CareSearch Related Projects
Working Together Change framework

Download the Involved in Quality Improvement factsheet from CareSearch website

Return to Policy Quality Standards page

Page created 05 August 2014