Faculty Advisor and Chapter Leader Call UK & Ireland IHI Open School 11 th June 2012 19.00 Please...

Faculty Advisor and Chapter Leader CallUK & Ireland IHI Open School

11th 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

UK IHI Open School Conference 2012

• 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 GriffithsNursing Student - Pre-Registration Adult Branch, Glyndwr UniversityChapter 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 brush2 = 2 hourly moistening3 = other indication (please state)

Condition pre-mouth care

1 = Dry/cracked2 = Healthy/moist3 = other (please state)

Action taken

1 = Teeth/denture brush2 = mouth care using sponges3= other (please state)

Evaluation post-mouth care 1 = Moist/healthy2 = To repeat mouth care after (?) hours 3=other (please state)

Initials

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

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

ActMouth Care Needs: Is mouth dry? Y/NIs mouth sore? Y/N12 hourly brush done today? Y/NMouth care given? Y/NTreatment given? Y/N (eg, Nystatin)Mouth moist and clean following mouth care? Y/N

Mouth Care Needs: Is mouth dry? Y/NIs mouth sore? Y/N12 hourly brush done today? Y/NMouth care given? Y/NTreatment 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

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


• A structured leadership organisationThe five realities1 –

– purpose– structure– helpful mechanisms– relationships– leadership


• Improvement projects and clinical audit

• Events:─ Skills sessions─ Clinical audit and quality improvement ─ Fresher’s fayre

• Curriculum development with Faculty Advisor


• 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

‘Ask one question’ campaign

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


• 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


• 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


• 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!

Questions & answers

Thank you

• Thank you for joining the regional call

• How would you rate the usefulness? Not useful Useful Very useful

• How can we make these calls more useful?

• How often should we have these calls?

Faculty Advisor and Chapter Leader Call UK & Ireland IHI Open School 11 th June 2012 19.00 Please...

Documents

Transcript of Faculty Advisor and Chapter Leader Call UK & Ireland IHI Open School 11 th June 2012 19.00 Please...