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Dr Adil Todiwala (FY1) Miss Radha Indusekhar (Consultant) Sarah Carnwell (Network Administrator)

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Presentation on theme: "Dr Adil Todiwala (FY1) Miss Radha Indusekhar (Consultant) Sarah Carnwell (Network Administrator)"— Presentation transcript:

1 Dr Adil Todiwala (FY1) Miss Radha Indusekhar (Consultant) Sarah Carnwell (Network Administrator)

2 Introduction Evidenced-based medicine is rapidly becoming more embedded in the practice of clinical medicine. Clinical guidelines are quickly emerging in almost all wards and clinical environments, and the familiarity and dependency of them are growing. The first edition of The Bedside Clinical Guidelines Partnership: Obstetric Guidelines has been published in February It was compiled as an aide-memoir for all staff concerned with obstetric management, with the aim of standardising patient care.

3 Dudley Group of Hospitals NHS Trust Mid Staffordshire General Hospital NHS Trust The Royal Wolverhampton Hospitals NHS Trust The Shrewsbury and Telford Hospitals NHS Trust University Hospital of North Staffordshire Walsall Hospitals NHS Trust

4 Aims & Objectives Determine if the guidelines meet with the requirements of the obstetric staff. Determine the awareness and usage of these guidelines amongst the obstetric staff. Assess the usefulness and ease of the guidelines. Evaluate the guidelines in a way which can help direct the development of further editions.

5 Methods Data collection: by questionnaire. Members of obstetric staff included: Doctors (Consultants, Specialist Registrars, SHO, FY1/2) Midwives Advanced Nurse Practitioners Others (Medical Student, Student Midwife)

6 Methods Centres included: University Hospital of North Staffordshire Shrewsbury and Telford Walsall Manor Mid Staffordshire General Royal Wolverhampton Dudley Group Hospitals

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8 Data Collection Consultant8 Specialist Registrar11 SHO4 FY12 Midwife31 Student Midwife3 Medical Student1 University Hospital of North Staffordshire40 Mid Staffordshire General Hospital0 Royal Wolverhampton Hospital5 Shrewsbury and Telford2 Dudley Group of Hospitals0 Walsall Manor Hospital12 Other (Keele University)1 Medical Staff25 Nursing Staff31 Other4

9 Are you aware of the Obstetric Guidelines? Response Medical Staff (n=25) Nursing Staff (n=31) Other (n=4) Total (%) (n=60) Yes (92%) No-325 (8%)

10 Have you seen a copy of the Obstetric Guidelines? Response Medical Staff (n=25) Nursing Staff (n=31) Other (n=4) Total (%) (n=60) Yes (85%) No-639 (15%)

11 In what form have you seen a copy of the Obstetric Guidelines? Response Medical Staff (n=34) Nursing Staff (n=31) Other (n=1) Total (%) (n=66) A5 pocket book (73%) Copy on intranet99-18 (27%) Other

12 Do you have your own copy of the guidelines? Response Medical Staff (n=25) Nursing Staff (n=31) Other (n=1) Total (%) (n=57) Yes (53%) No (47%) 84 29

13 Who provided you with a copy of the guidelines? Came in post1 Clinical Risk Manager1 College Tutor3 Guideline Lead at UHNS1 Lynne Lovekin, Rota Co-ordinator at UHNS11 Maternity Unit, Shrewsbury1 Network2 Trudie Roberts1 Trust3

14 When at work, do you keep your copy of the guidelines with you? Response Medical Staff (n=21) Nursing Staff (n=9) Other (n=0) Total (%) (n=30) Yes, all the time54-9 (30%) Yes, some of the time (47%) No, never52-7 (23%)

15 How often do you refer to the guidelines? Response Medical Staff (n=25) Nursing Staff (n=27) Other (n=1) Total (%) (n=53) Daily-213 (6%) Once a week86-14 (26%) Once a month (51%) Never45-9 (17%)

16 How easy / difficult do you find the guidelines to use? Response Medical Staff (n=25) Nursing Staff (n=25) Other (n=1) Total (%) (n=51) Very easy17-8 (16%) Easy (78%) Difficult-3-3 (6%) Very difficult

17 How easy / difficult do you find the index to use to find the information you require in the guidelines? Response Medical Staff (n=25) Nursing Staff (n=24) Other (n=1) Total (%) (n=50) Very easy44-8 (16%) Easy (76%) Difficult13-4 (8%) Very difficult

18 What do you think about the quantity of information in the guidelines? Response Medical Staff (n=25) Nursing Staff (n=24) Other (n=1) Total (%) (n=50) Too detailed-3-3 (6%) Right amount of detail (88%) Not enough detail 21-3 (6%)

19 How easy / difficult to follow do you find the text in the guidelines? Response Medical Staff (n=25) Nursing Staff (n=24) Other (n=1) Total (%) (n=50) Very easy23-5 (10%) Easy (80%) Difficult23-5 (10%) Very difficult

20 How clear / difficult to follow do you find the diagrams in the guidelines? Response Medical Staff (n=25) Nursing Staff (n=24) Other (n=1) Total (%) (n=50) Very easy23-5 (10%) Easy (84%) Difficult-3-5 (6%) Very difficult

21 In which format would you prefer the guidelines to be available in? Response Medical Staff (n=28) Nursing Staff (n=32) Other (n=1) Total (%) (n=61) A5 pocket book (54%) A4 folder in clinical area 16-7 (11%) Copy on intranet75-12 (20%) All formats63-9 (15%) Other

22 Conclusions 92% are aware of the Obstetric guidelines 85% have seen a copy of the Obstetric guidelines 73% A5 pocket book, 27% copy on the intranet 84% of medical staff own a copy of the guidelines, compared to 29% of nursing staff 30% keep their copy with them at all times, compared to 47% some of the time

23 88% felt the guidelines contained the right amount of detail 76% found the index easy to use 80% found the text easy to follow 84% found the diagrams easy to follow 78% found the guidelines as a whole easy to use Conclusions

24 51% refer to the guidelines once a month, compared to 26% once a week, and 6% daily All members of staff preferred the A5 pocket book (54% total) However more nursing staff (19%) preferred to have the guidelines as an A4 folder, compared to medical staff (4%) Conclusions

25 Improved feedback from Mid Staffordshire General Hospital and Dudley Group of Hospitals Reasons why some trusts use the guidelines more than others Promotion and increased awareness in trusts More numbers, greater feedback Conclusions

26 Action Plan ActionCo-ordinatorAction to be completed by The results and comments of the audit will be used in the development of the next edition of the Obstetric Guidelines Obstetric Guideline Group Feb 2012 The results and comments will be used to influence any future decision as to how the guidelines will be distributed within the Network Obstetric Guideline Group Feb 2012 Allow increased accessibility of the A5 pocket book to nursing staff Obstetric Guideline Group Feb 2012 The possibility of producing an A4 version of the guidelines will be discussed Obstetric Guideline Group Feb 2012


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