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

1. 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

2. 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

3. 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)

4. UK IHI Open School Conference 2012 'Small Changes, Big Impact' – The 2012 IHI Open School (UK) Conference

5. UK IHI Open School Conference 2012

6. UK IHI Open School Conference 2012

7. My experience of the UK IHI Open School Conference 2012 and of the IHI Practicum • 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 Caitlin Griffiths Nursing Student - Pre-Registration Adult Branch, Glyndwr University Chapter Lead (Nursing) - 1000 Lives Plus Student Chapter

8. “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)

9. Plan • 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

10. 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

11. 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

12. 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

13. 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 !!!!

14. REMEMBER - We are the future of healthcare- we can - and must continually seek to improve it.

15. 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

16. Updates from the IHI Open School Nottingham Chapter

17. Updates from the IHI Open School Nottingham Chapter • A structured leadership organisation • The five realities1 – • purpose • structure • helpful mechanisms • relationships • leadership

18. 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

19. Updates from the IHI Open School Nottingham Chapter

20. 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

21. ‘Ask one question’ campaign

22. 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

23. 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

24. 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

25. 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!

26. Questions & answers

27. 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?