Presentation on theme: "Faculty Advisor and Chapter Leader Call UK & Ireland IHI Open School 11 th June 2012 19.00 Please type your name(s) and the university/organisation you."— Presentation transcript:
Faculty Advisor and Chapter Leader Call UK & Ireland IHI Open School 11 th June 2012 19.00 Please type your name(s) and the university/organisation you represent in the chat box Example: Andy, IHI Open School UK Regional Manager
Objectives Meet other Faculty Advisors and Chapter Leaders from across the UK Share ideas, tools and resources Learn updates from the UK & Ireland IHI Open School team
Agenda Introductions/review (2min) Outline report of the UK IHI Open School Conference 2012 (5min) – Andy Carson-Stevens ‘My experience of the UK IHI Open School Conference 2012 and of the IHI Practicum’ (10min) – Caitlin Griffiths Updates from the IHI Open School Nottingham Chapter (10min) – Sarah Louise Nutt ‘Ask one question’ Campaign (10min) – Andy Carson- Stevens Future directions for UK & Ireland IHI Open School (5min) – Eva Patel Questions and answers (15min)
UK IHI Open School Conference 2012 'Small Changes, Big Impact' – The 2012 IHI Open School (UK) Conference
It was a really exciting day packed full of great speakers including Dr Phil Hammond, other students and breakout sessions. I was able to meet interesting colleagues all involved in improvement which encouraged me and expanded my interest in the IHI It gave me the opportunity to present my improvement project to like minded people My experience of the UK IHI Open School Conference 2012 and of the IHI Practicum Caitlin Griffiths Nursing Student - Pre-Registration Adult Branch, Glyndwr University Chapter Lead (Nursing) - 1000 Lives Plus Student Chapter
“A nursing student’s experience of a quality improvement project on mouth care in an acute setting” -Witnessing poor mouth care on clinical placements -Daniel et al (2004) – educational needs in relation to oral care, training for HCPs, patients, families and carers is needed to increase knowledge and therefore standards -Coleman (2005) – Need for attention to oral hygiene, increased awareness = increased standard for oral care in the elderly -Forsell et al (2011) – statistical correlations between poor oral hygiene an incidences of systemic diseases eg pneumonia -Curtis et al (2007) – prioritisation of advanced practice leaves little room for mouth care, the most basic of nursing activities. “Bad dental health can lead to pneumonia, Yale study suggests” (2011)
Objective: To test a change idea Where: On a medical ward where I am on placement Who: All nursing/HCA staff on shift, no training, just introduction of change Data collection and interpretation: I decided to follow up all results – small scale project Prediction: To have valuable data and feedback from staff following change Plan Date and Time Indication for mouth care 1 = 12 hourly brush 2 = 2 hourly moistening 3 = other indication (please state) Condition pre-mouth care 1 = Dry/cracked 2 = Healthy/moist 3 = other (please state) Action taken 1 = Teeth/denture brush 2 = mouth care using sponges 3= other (please state) Evaluation post-mouth care 1 = Moist/healthy 2 = To repeat mouth care after (?) hours 3=other (please state) Initials Plan DoStudy Act
Do Implemented the chart over a period of 4 days Support from ward Sister – “Safety Briefings” Identified whether patients had a “need” for mouth care chart based on if they had a problem identified in their nursing admission or if they were for “all care” Put chart on bed clip board alongside intentional roundings and fluid balance etc – easily visible to staff Plan DoStudy Act
Study Positive I found that compliance of filling in of the charts was very good on day one On day two, some charts were filled out for some patients Some nursing staff/HCAs were very receptive of the chart and filled it in well When used well, it prompted staff to return to patients after two hours and moisten the mouth Patients appreciated time being taken to bushing their dentures/teeth Mouths did appear in healthier condition (those patients who the chart was used properly) Negative By day three and four, the charts were no longer being completed Some staff seemed disinterested by the subject Some saw it as another piece of paperwork Filling in an extra form was seen as time consuming Comparison to the intentional rounding chart which mentions mouth care too Plan DoStudy Act
Mouth Care Needs: Is mouth dry? Y/N Is mouth sore? Y/N 12 hourly brush done today? Y/N Mouth care given? Y/N Treatment given? Y/N (eg, Nystatin) Mouth moist and clean following mouth care? Y/N Mouth Care Needs: Is mouth dry? Y/N Is mouth sore? Y/N 12 hourly brush done today? Y/N Mouth care given? Y/N Treatment given? Y/N (eg, Nystatin) Mouth moist and clean following mouth care? Y/N Next stage – improve and change idea Positive that some improvements to patient mouth care occurred as a result of using the mouth care chart – build on this No cooperation = no change = no improvement Reduce paperwork Alter Intentional Rounding instead by expanding on what is already on it Plan DoStudy Act
What I have learnt: You must be committed to making a change and must use your time wisely Get support from a mentor, ward sister, academic in your university – don’t be afraid to ask for help! Trying to change a small part of practice may feel daunting and difficult...... But work through IHI courses in your spare time, learn and develop the skills to make a change REFLECT! Learn from recognising what worked and what didn’t and modify your actions These skills will enable us to become better practitioners, team members, leaders and a greater workforce that our patients can trust in It is great for your CV – but witnessing improvements in care because of your own ideas and hard work is priceless HAVE A GO !!!!
REMEMBER - We are the future of healthcare- we can - and must continually seek to improve it.
Updates from the IHI Open School Nottingham Chapter A little bit about the Chapter: -A personal narrative -What is success? -Challenge, choice, outcome -A story of self, us and now
Updates from the IHI Open School Nottingham Chapter Other medical societies Not enough time to do IHI courses Healthcare reform Changing medical curriculums IHIOS becoming more known Difficulties in keeping the momentum going Students motivated by “whats in it for me” needs Strength in numbers Good contacts with faculty, QI department Backdrop of successful audits and QI projects StrengthsWeaknesses Threats Opportunities
Updates from the IHI Open School Nottingham Chapter A structured leadership organisation The five realities 1 – –purpose –structure –helpful mechanisms –relationships –leadership
Updates from the IHI Open School Nottingham Chapter Improvement projects and clinical audit Events: ─ Skills sessions ─ Clinical audit and quality improvement ─ Fresher’s fayre Curriculum development with Faculty Advisor
Updates from the IHI Open School Nottingham Chapter
Ideas for the next academic year: –QI workshop for Nottingham medical students –Find willing mentoring faculty/clinicians to mentor Improvement Practicum projects –Continue to encourage taking IHI courses –Expand to multidisciplinary –Skills seminars –Use of personal narrative to tell stories and move students into action –Use of clinical audit as a preliminary asset to QI work
Future directions for UK & Ireland IHI Open School Social media tools: ─Website Directs ‘students’ of the UK & Ireland OS to relevant resources and tools across the web Students to ‘own’ the page Latest articles/publications/posters/conference proceedings ‘What’s hot’ and ‘whats not’ across UK & Ireland Chapters
Future directions for UK & Ireland IHI Open School Social media tools: ─Facebook group Fast contact with Chapters and members Facebook versus email?! Facebook events & polls Pictures and videos Easy to keep people updated
Future directions for UK & Ireland IHI Open School Social media tools: ─“On call rota” for: –Twitter stream –Monthly newsletter –Blog All are involved in keeping students up to date with new resources and announcements
Future directions for UK & Ireland IHI Open School Student base for writing UK articles ─ Quality improvement ─ Patient safety ─ Experience with IHI Open School Chapters ─ Experience as a Chapter Leader/Chapter member/Faculty Advisor Looking for a team of enthusiastic and motivated writers to continue with this student base and manage social media tools – please get in touch!
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