PIECES is a holistic, relationship focused approach to collaborative engagement, shared assessment and supportive care with older Persons at risk or living with complex chronic conditions and associated behavioural changes related to; neurocognitive disorders, mental health and substance use disorders, neurological conditions, and physical health conditions.
The PIECES Learning and Development Program is a dynamic and highly interactive learning experience that prepares Learners, across the continuum of care, to apply the PIECES approach in practice, working in full collaboration as a Team. This comprehensive two-day learning strategy develops the role of the PIECES practitioner to:
- guide a holistic Person and Care Partner centred Team approach
- support the well-being and health care of older individuals at risk or living with complexity
- support an evidence informed approach to shared assessment
- promote a collaborative process that is relationship focused
The Program focuses on the advancement of Core Competencies which are anchored in the PIECES Foundational Principles; Validating, Shared Solution Finding, Acting Together, Enhancing and Translating Knowledge.
Who should attend the Program?
PIECES Learners must be health practitioners whose scope of practice includes a responsibility and accountability to engage and guide the Team, beginning with the Person and Care Partner, in shared assessment and collaborative care planning.
PIECES learner eligibility
PIECES Learners must be health professionals with a responsibility and accountability to engage and guide the Team, beginning with the Person and Care Partner, in shared assessment and collaborative care planning. Clinical roles and scope of practice, include, but are not limited to:
- Knowledge, skills, and responsibility, to guide the Team’s clinical application of the PIECES 3-Question Template.
- Knowledge, skills, and responsibility in shared assessment and collaborative care planning including:
▪ Administration of clinical assessment tools (e.g. delirium assessment, cognitive screening, assessment for mood disorders, suicidality, substance use)
▪ Guiding the Team in the: selection and administration of the most appropriate clinical assessment tool(s), including behavioural assessment; collaboration to interpret the findings, and determine next steps; sharing of the findings including reporting and
▪ Guiding the Team in collaborative processes that integrate collective knowledge of the Team, beginning with the Person and Care Partner, into the care plan, and mobilize the care plan into action, monitor progress and evaluate effectiveness.
Not eligible: Try the U-First! Program
The PIECES approach is at the core of the U-First! Program (www.u-first.ca). Both learning programs focus on enhancing Team collaboration and supportive care with older Persons and their Care Partners. U-First! is recommended for PSWs and other Team members (e.g. Recreation aides, OT and PT assistants) working in shared support of the older Person living with complexity.
What can I expect when I attend the Program?
Supporting the translation of knowledge into day-to-day practice, the Program provides a dynamic, highly interactive learning experience with opportunities for reflective, practice-base application of the PIECES approach.
The Program comprehensive two-day learning strategy
Day 1: Core Curriculum to enhance learner's knowledge and skills to use the PIECES 3-Question Template in practice to guide an evidence-informed Team approach to Person and Care Partner centred collaborative assessment and shared care.
Practical Application: Learners are required to complete a Practical Application of the learning in the workplace, in collaboration with the Team; typically 2 weeks are provided between Day 1 and Day 2.
Day 2: Core Curriculum builds on the learning from Day 1 and the Practical Application experience; providing additional clinical content to enhance knowledge and skills, with further opportunities for practice-based application; and exploring strategies for further mobilizing PIECES into practice at the individual and Team level, and in collaboration with senior leadership and other partners.
Program completion requirements
Successful completion of the Program requires all Learners to:
- Attend all of Day 1 and Day 2, including preparatory work prior to Day 1.
- Complete and submit a Practical Application applying the 3-Q Template between Day 1 and Day 2 learning.
- Complete an on-line Post-learning Evaluation.
The Practical Application is an integral and required component of the Program. A copy of the Practical Application is forwarded by the Learner to the Educator Team prior to Day 2 and supports:
- Application of the PIECES approach, in real time, in shared support of a Person living with complexity.
- Collaboration through conversations with the Person, Care Partner and other members of the Team involved in the shared assessment and supportive care.
- The opportunity on Day 2 to reflect on the PA experience, share successes and lessons
learned, continue to build on the learning and what surfaced during the PA, and explore
possibilities moving forward in practice.
The overall training was excellent. I wish I took it sooner. I will recommend the training to all that will benefit. The integration of the job aids and resource guide was not difficult and was easy to follow throughout the program.
I took PIECES about 15 years ago, taking it again was so beneficial! Got me out of a rut, plus has inspired me to use the WHOLE team, not just my "go to" staff. I am hoping to take the "team approach" to a whole new level on my unit, with the goal of bringing a new attitude and atmosphere on the unit.
The experience of PIECES training using the Virtual platform far exceeded my expectations. The mix of small and large group sessions was a great way to participate and get to know the experiences and expertise of other participants. Our Educator Team was excellent. Their enthusiasm, knowledge and commitment to the PIECES program was an asset to my learning experience. I would highly recommend this program to other colleagues
PIECES Foundational Principles
All that PIECES encompasses is informed by 4 Foundational Principles - Validating, Shared Solution Finding, Acting Together and Enhancing and Translating Knowledge.