Transcript Chapter Call UK 2012

Faculty Advisor and Chapter Leader Call
UK & 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 CarsonStevens
• 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
UK IHI Open School Conference 2012
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
• 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
“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.
Plan
Act
Plan
Study
Do
• 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
Date
and
Time
Indication for mouth care
Condition pre-mouth care
1 = 12 hourly brush
2 = 2 hourly moistening
3 = other indication (please
state)
1 = Dry/cracked
2 = Healthy/moist
3 = other (please state)
Action taken
Evaluation post-mouth care
1 = Teeth/denture brush
2 = mouth care using sponges
3= other (please state)
1 = Moist/healthy
2 = To repeat mouth care after (?)
hours
3=other (please state)
Initials
Do
Act
Plan
Study
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
Negative
•
•
•
•
•
•
•
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)
•
•
•
•
Act
Plan
Study
Do
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
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
•
•
•
•
•
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
Act
Study
Do
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
• Strength in numbers
• Good contacts with
faculty, QI department
• Backdrop of
successful audits and
QI projects
• Difficulties in keeping
the momentum going
• Students motivated by
“whats in it for me”
needs
Strengths
Opportunities
• Healthcare reform
• Changing medical
curriculums
• IHIOS becoming more
known
Weaknesses
Threats
• Other medical societies
• Not enough time to do
IHI courses
Updates from the IHI Open School
Nottingham Chapter
• A structured leadership organisation
The five realities1 –
–
–
–
–
–
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
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
‘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
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!
Questions & answers
Thank you
• Thank you for joining the regional call
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