Presentation is loading. Please wait.

Presentation is loading. Please wait.

Discovery Interviews Dr Jeffrey Phillips Consultant in Intensive Care Medicine Princess Alexandra Hospital, Harlow How Patients and Carers can Influence.

Similar presentations


Presentation on theme: "Discovery Interviews Dr Jeffrey Phillips Consultant in Intensive Care Medicine Princess Alexandra Hospital, Harlow How Patients and Carers can Influence."— Presentation transcript:

1 Discovery Interviews Dr Jeffrey Phillips Consultant in Intensive Care Medicine Princess Alexandra Hospital, Harlow How Patients and Carers can Influence Service Improvement

2 NHS Modernisation Agency Critical Care Programme Improve access, experience and outcomes for patients with potential or actual need for critical care

3 Why? The New NHS (1997) Critical to Success (1997) Comprehensive Critical Care (2000) NHS Plan (2000) Shifting the Balance of Power (2001) NHS Reform Act (2002) The Kennedy Report (2001) Commission for Health Improvement

4 Why? Patients are our raison dêtre

5 Aim Patients and Carers to influence change To understand what patients and carers perceive as important New ways of working Inclusive approach

6 Change has become a constant; managing it has become an expanding discipline. The way we embrace it defines our future.

7 Audit or Research? Audit or qualitative research Informing about previous experience New information sought Approval for project –LREC –MREC

8 Patient and Carer Participation Questionnaires –Low response rate –Questions set by professionals –Cover limited aspects of service –Results seldom improve care Groups –Inhibition of introverts –Clash of opinion –Directed by professionals

9 Provide opportunities for patients and their carers to directly tell the story of their illness or condition using a framework that guides them through the key stages of their experience Discovery Interviews

10 Using Narratives Reflection Listeners must ask: –What is learned from the narrative? –What needs to change? Action Listeners must ask: –How can change happen?

11 Discovery Interviews Semi-structured No formal direct questions Interview spine derived from process mapping Process map simplified

12 Discovery Interview Spine First realising something was wrong Getting to the Critical Care Unit Being in the Critical Care Unit Leaving the Critical Care Unit Being on the Ward Going Home At Home

13 Discovery Interviews Subject encouraged to talk about experiences at each stage Interviewer avoids direct questioning Audio-recorded Transcribed

14 Analysis Process initiated by the team in order to learn about the patient and carers experience Non-confrontational process Teams listen to uninterrupted narratives Stories and narratives are a great leveller

15 Action Identify areas requiring improvement Immediate Change Process Mapping & PDSA Service commissioning –Testament v Anecdote Other areas for further inquiry

16 Improvements Orientation of patients when waking from a period of sedation Strengthen pre-assessment phase of a patients journey Communication and information Noise

17 The Future Continue improving! Roll out to all 29 Critical Care Networks Different subject groups –The bereaved Cascade throughout Trust Those in power to learn from our experiences

18 Summary Learning from Patient and Carer stories Powerful tool to understand from the Patients and Carers perspective Patients and Carers able to provide a comprehensive picture of both recollections and experiences Strengthened partnerships


Download ppt "Discovery Interviews Dr Jeffrey Phillips Consultant in Intensive Care Medicine Princess Alexandra Hospital, Harlow How Patients and Carers can Influence."

Similar presentations


Ads by Google