Suzanne,  when organisations are resistant to change and adopt a culture of
inertia,  I think all you can do is be persistant and strategic in your
approach...I think (?) someone recently raised the Canadian Model of Human
Occupational as an effective analytic tool when attempting to understand
just where in orgs the blockages to the free flow of information, and
therefore service delivery, are taking place

for example, do you have allocated sessions for continuing professional
development? perhaps the service Manager might consider a weekly Quality
meeting where the staff bring examples of case studies or discuss some of
the relevent Literature in your area of Practice. That might provide you
with an opportunity to bring in some of the stuff that supports your frame
of reference eg Motor Control Theory..whatever...Perhaps there's also the
possiblity for some ongoing research into the topic...nothing like that
these days to draw some kudos down on your place of work...you might be able
to develop a simple (occupationally- based of course) assessment tool!

Quality Assurance and CQI can be very boring...but it can also be a great
weapon to use against apathetic management...as they often have a commitment
to implementing processes that at least make it look like their making
things "better"....
( - ; David




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