Aug 022016
 
Amanda Wilkinson, nursing student at Bangor Univeristy

Amanda Wilkinson, nursing student at Bangor Univeristy

I was so pleased to have the opportunity to attend the Patient Safety Congress. I have been keen to get involved and find out more about 1000 Lives Improvement and this was an opportunity to spend time with members of the team and learn from healthcare professionals all over the world that would be in attendance. It was great to meet fellow nursing student Bianca Jourdain from Swansea University.

From the beginning I felt empowered by Dr Suzette Woodward, director of ‘Sign up to Safety’ who valued pride for patient safety and recognised that staff should be cared for when involved in incidents. Dr Woodward spoke of compassion, trust and human conversations which link with the fundamentals of care that I am learning in my first year as an adult nursing student. The words which resonated with me the most are:

 “Learn as much as possible and never be judgemental”.

Dr Claire Gordon, Consultant in Acute Medicine at Lothian University Hospitals NHS Trust explained how planning is important in patient care with involvement from the patient and the multidisciplinary team. Clear plans should be used however small such as ‘today Mrs Jones the plan for you is to walk ten steps’. The use of planning and ‘leading indicators’ was also spoken of by Professor Maxine Power, Director of Haelo,  who also valued communication with the whole team when planning improvement. “Staff need to be aware of what they are measuring and why”. Receiving feedback means staff can see the process is worthwhile and continue to measure. Always Events® took this another step further and suggested that improvement planning should involve patients, families, carers and staff.

Technology featured prominently at the Congress. There were many companies offering electronic recording for patients’ observations with automatic escalation to the doctor and prompts, reminders and task management. Datix also attended, they showed their reporting of incidents to Bianca and I. We then achieved the second highest score on their quiz, coming second only to their own manager – another win for us both and we got to take home @thedatixbear as a reward.

Students Amanda and Bianca with the Datix bear

Students Amanda and Bianca with the Datix bear

Strong themes of trust and teamwork prevailed across the talks over the two days which was widely considered to promote openness and courage for staff to report and learn from incidents without the worry of blame. Whilst a large aspect of the Congress explored new technology for collecting and analysing data; it was evident to me that the culture within the teams was fundamental to achieving this. The need for clinical competence and judgement was highly regarded: not to over rely on checklists and numbers – sometimes a patient is ‘just not right’ and we should not be afraid to act on this.

Patient safety wasn’t the only lesson for me – I also mastered the use of chopsticks when we went to China Town for supper!

I found it sad when the Congress came to an end but was reminded by Dave Hill, Service Improvement Manager at 1000 Lives Improvement, that this is just the beginning of my journey. This experience has increased my enthusiasm and commitment to quality improvement as part of my nursing career. Thank you 1000 Lives Improvement for making it possible and for making Bianca and I feel like part of the team.

Please take a minute to look at this inspirational leadership video that was shown by Advancing Quality Alliance: https://www.ted.com/talks/drew_dudley_everyday_leadership#t-315150

Aug 022016
 
Amanda Wilkinson, nursing student at Bangor Univeristy

Amanda Wilkinson, nursing student at Bangor Univeristy

Roeddwn mor falch o gael y cyfle i fynychu’r Gynhadledd Diogelwch Cleifion. Rwyf wedi bod yn awyddus i gymryd rhan a chael gwybod mwy am 1000 o Fywydau – Gwasanaeth Gwella ac roedd hwn yn gyfle i dreulio amser gydag aelodau o’r tîm a dysgu oddi wrth weithwyr gofal iechyd proffesiynol o bob cwr o’r byd a fyddai’n bresennol yn y gynhadledd. Roedd yn wych cwrdd â chyd-fyfyriwr nyrsio Bianca Jourdain o Brifysgol Abertawe.

O’r cychwyn cefais fy ngrymuso gan Dr Suzette Woodward, cyfarwyddwr ‘Sign up to Safety‘, a oedd yn rhoi pwys ar falchder mewn diogelwch cleifion ac yn cydnabod y dylai staff gael gofal pan oeddent yn gysylltiedig â digwyddiadau. Siaradodd Dr Woodward am dosturi, ymddiriedaeth a sgyrsiau dynol sy’n cysylltu â’r hanfodion gofal rwy’n dysgu amdanynt yn ystod fy mlwyddyn gyntaf fel myfyriwr nyrsio oedolion. Y geiriau a atseiniodd gyda mi fwyaf yw:

 “Dysgwch gymaint ag y bo modd a pheidiwch byth â barnu”

Esboniodd Dr Claire Gordon, Ymgynghorydd mewn Meddygaeth Aciwt yn Ymddiriedolaeth GIG Ysbytai Prifysgol Lothian sut mae cynllunio’n bwysig o ran gofal cleifion gyda chyfraniad gan y claf a’r tîm amlddisgyblaethol. Dylid defnyddio cynlluniau clir waeth pa mor fach ydynt, fel ‘heddiw Mrs Jones y cynllun yw i chi gerdded deg cam’. Soniwyd am y defnydd o gynllunio a ‘dangosyddion arweiniol’ hefyd gan yr Athro Maxine Power, Cyfarwyddwr Haelo, a oedd hefyd yn rhoi pwysau mawr ar gyfathrebu gyda’r tîm cyfan wrth gynllunio gwelliant. “Mae angen i staff fod yn ymwybodol o’r hyn y maent yn ei fesur a pham”. Mae cael adborth yn golygu bod y staff yn gallu gweld bod y broses yn werth chweil a pharhau i fesur. Aeth Always Events® â hyn gam ymhellach ac awgrymodd y dylai’r broses o gynllunio gwelliannau gynnwys cleifion, teuluoedd, gofalwyr a staff.

Rhoddwyd sylw amlwg i dechnoleg yn y Gynhadledd. Roedd llawer o gwmnïau’n cynnig cyfleusterau cofnodi electronig ar gyfer arsylwi cleifion a oedd yn cyfeirio cleifion yn awtomatig at feddyg gan gynnig awgrymiadau, nodiadau atgoffa a chyfleuster rheoli tasgau. Roedd Datix hefyd yn bresennol, gan ddangos eu dull cofnodi digwyddiadau i Bianca a minnau. Yna cawsom y sgôr uchaf ond un ar y cwis, gan ddod yn ail i’w rheolwr – buddugoliaeth arall i ni ac aethom adref gyda @thedatixbear yn wobr.

Myfyrwyr Amanda a Bianca â’r ‘Datix Bear’

Daeth themâu cryf o ymddiriedaeth a gwaith tîm i’r amlwg yn y trafodaethau yn ystod y ddau ddiwrnod ac ystyriwyd eu bod yn hyrwyddo amgylchedd agored a dewrder i staff adrodd am ddigwyddiadau heb boeni am gael eu beio, a dysgu o’r digwyddiadau hynny. Er bod ymchwilio i dechnoleg ar gyfer casglu a dadansoddi data yn agwedd fawr ar y Gynhadledd; roedd yn amlwg i mi bod y diwylliant o fewn y timau yn hollbwysig er mwyn cyflawni hyn. Rhoddwyd pwys mawr ar yr angen am gymhwysedd a barn: peidio â gorddibynnu ar restrau gwirio a rhifau – weithiau dyw claf ‘jest ddim yn iawn’ ac ni ddylem ofni gweithredu ar hyn.

Nid diogelwch cleifion oedd yr unig wers i mi ei dysgu – llwyddais i feistroli’r defnydd o chopsticks pan aethom i China Town am swper!

Roeddwn yn drist pan ddaeth y Gynhadledd i ben ond cefais fy atgoffa gan Dave Hill, Rheolwr Gwella Gwasanaethau 1000 o Fywydau, mai dim ond dechrau fy nhaith yw hyn. Mae’r profiad hwn wedi cynyddu fy mrwdfrydedd a’m hymrwymiad i wella ansawdd fel rhan o’m gyrfa nyrsio. Diolch yn fawr 1000 o Fywydau am wneud hyn yn bosibl ac am wneud i Bianca a minnau deimlo’n rhan o’r tîm.

Treuliwch funud yn edrych ar y fideo arweinyddiaeth ysbrydoledig a ddangoswyd gan Advancing Quality Alliance:https://www.ted.com/talks/drew_dudley_everyday_leadership#t-315150

Aug 022016
 
Bianca Jourdain, nursing student at Swansea University

Bianca Jourdain, nursing student at Swansea University

When I entered the ‘A day in the life of a patient’ competition, I saw it as an opportunity to raise awareness of paediatric nursing and apply what we’re taught at university in terms of putting yourself in the shoe of your patients. However, winning it has enabled me to learn so much more than this. As a competition winner I attended the 2016 Patient Safety Congress in Manchester. With over 2,000 health professionals from clinical and non-clinical backgrounds attending, there was a vast assortment of knowledge and experience present throughout the two days.

Dr Suzette Woodward, one of the opening speakers on the first day, suggested that as health professionals, we should “learn to do the job, on the job” when discussing the education and application of patient safety. This was evident throughout the Congress as the stalls and speakers reiterated that we are trying to improve, and not replace current healthcare services and medical interventions. There were several notable themes including the use of technology to advance current practice and the need to adopt a family-centred and holistic approach, working with patients and not for them to provide the best possible care.

The interactive side of the Congress revolved around social media via Twitter allowing delegates such as myself to not only see what was happening all over the Congress, but to also get actively involved. Furthermore, the use of Sli.do, an internet based service that I had not used before, allowed direct engagement with each speaker through polls and questions.

Over the course of the two days, three sessions in particular really stood out for me: namely Cathy Sheehan, Clinical Lead for Children Protection at NHS England who gave ‘An integrated approach to safeguarding children’; Dr Daniel Cohen and Dr Stephen Webb’s ‘Investigating harmful events due to delays in diagnosis’ and the NICE Forum’s ‘The cancer drugs fund: The new arrangement’.

There were personal development opportunities at the Congress too. I asked a question in front of what felt like hundreds of people (using a microphone) and conversed with speakers after their presentations about the topics they had discussed. It was a great opportunity to meet other delegates and professionals from across the UK, learning about their fields, interests and backgrounds.

The Congress wasn’t the only positive outcome of entering the competition. I was able to explore a busy, beautiful city that I had not seen before (I would especially recommend visiting the John Rylands Library). I also met Amanda, an adult nursing student from Bangor University who shared the same enthusiasm for our chosen profession, and of course the 1000 Lives Improvement team, who had no hesitation in making us feel welcome and involved us throughout.

An additional highlight of the Congress was winning the Datix patient safety quiz with Amanda (and scoring ourselves teddy bear prizes!). I enjoyed every minute of this experience and I wouldn’t have been able to gain the exposure and knowledge of quality improvement and patient safety that I now have if it wasn’t for 1000 Lives Improvement, and for that, I am very grateful….Thank you!!

Aug 022016
 
Bianca Jourdain, nursing student at Swansea University

Bianca Jourdain, myfyrwyr nyrsio yn Prifysgol Abertawe

Pan benderfynais gystadlu yn y gystadleuaeth ‘Diwrnod ym mywyd claf’, roeddwn yn ei weld fel cyfle i godi ymwybyddiaeth o nyrsio pediatrig a rhoi’r hyn y gwnaethom ei ddysgu yn y brifysgol ar waith, sef rhoi eich hun yn esgidiau eich cleifion. Fodd bynnag, mae ennill wedi fy ngalluogi i ddysgu cymaint mwy na hyn. Fel un o enillwyr y gystadleuaeth cefais gyfle i fynd i’r Gynhadledd Diogelwch Cleifion ym Manceinion. Gyda thros 2,000 o weithwyr iechyd proffesiynol o gefndiroedd clinigol ac anghlinigol yn bresennol, roedd yno amrywiaeth eang o wybodaeth a phrofiad drwy gydol y ddau ddiwrnod.

Awgrymodd Dr Suzette Woodward, un o’r siaradwyr agoriadol ar y diwrnod cyntaf, y dylem ni fel gweithwyr iechyd proffesiynol “ddysgu sut i wneud y swydd wrth wneud y swydd” wrth drafod addysg a diogelwch cleifion. Roedd hyn yn amlwg drwy gydol y Gynhadledd ac roedd y stondinau a’r siaradwyr yn pwysleisio’r ffaith ein bod yn ceisio gwella gwasanaethau gofal iechyd ac ymyriadau meddygol presennol yn hytrach na’u disodli. Roedd nifer o themâu nodedig gan gynnwys y defnydd o dechnoleg i hyrwyddo ymarfer cyfredol a’r angen i fabwysiadu dull sy’n canolbwyntio ar y teulu a dull cyfannol, gan weithio gyda chleifion, ac nid ar eu cyfer i ddarparu’r gofal gorau posibl.

Roedd ochr ryngweithiol y Gynhadledd yn seiliedig ar y cyfryngau cymdeithasol drwy Twitter gan ganiatáu i gynadleddwyr fel fi weld beth oedd yn digwydd ar draws y Gynhadledd, ond hefyd i chwarae rhan weithredol ynddi. Ar ben hynny, roedd y defnydd o Sli.do, gwasanaeth ar y rhyngrwyd nad oeddwn wedi’i ddefnyddio o’r blaen, yn caniatáu i mi ymgysylltu’n  uniongyrchol â phob siaradwr drwy arolygon barn a chwestiynau.

Yn ystod y ddau ddiwrnod, roedd tair sesiwn benodol sy’n aros yn y cof: Cathy Sheehan, Arweinydd Clinigol ar Amddiffyn Plant yn GIG Lloegr a amlinellodd ‘Ddull integredig ar gyfer diogelu plant’; Dr Daniel Cohen a Dr Stephen Webb yn ‘Ymchwilio i ddigwyddiadau niweidiol oherwydd oedi mewn diagnosis a ‘Cronfa cyffuriau canser: Y trefniant newydd’ gan Fforwm NICE.

Roedd cyfleoedd datblygu personol yn y Gynhadledd hefyd. Gofynnais gwestiwn o flaen yr hyn a oedd yn teimlo fel cannoedd o bobl (gan ddefnyddio meicroffon) a sgwrsio â’r siaradwyr ar ôl eu cyflwyniadau am y pynciau yr oeddent wedi’u trafod. Roedd yn gyfle gwych i gwrdd â chynadleddwyr a gweithwyr proffesiynol eraill o bob cwr o’r DU, gan ddysgu am eu meysydd, eu diddordebau a’u cefndiroedd.

Nid y Gynhadledd oedd yr unig ganlyniad cadarnhaol yn sgil y gystadleuaeth. Cefais gyfle i grwydro o amgylch dinas hardd brysur nad oeddwn wedi’i gweld o’r blaen (byddwn yn argymell ymweld â’r Llyfrgell John Rylands yn arbennig). Cefais hefyd gyfle i gwrdd ag Amanda, myfyriwr nyrsio oedolion o Brifysgol Bangor a oedd yn rhannu’r un brwdfrydedd dros ein proffesiwn, ac wrth gwrs tîm 1000 o Fywydau – Gwasanaeth Gwella, a wnaeth i ni deimlo’n gartrefol ac yn rhan o bethau drwy gydol y gynhadledd.

Un o uchafbwynt ychwanegol y Gynhadledd oedd ennill y cwis diogelwch cleifion Datix gydag Amanda (a chael tedis yn wobrau!). Fe wnes i fwynhau pob munud o’r profiad hwn ac ni fyddwn wedi dod i gysylltiad â’r maes gwella ansawdd a diogelwch cleifion i’r fath raddau nac wedi gallu cael cymaint o wybodaeth amdano ag sydd gennyf yn awr heb 1000 o Fywydau, ac rwy’n ddiolchgar iawn am hynny… Diolch yn fawr!!.

 

Jul 072016
 

Dr Gethin Pugh, Consultant in Anaesthesia & Intensive Care Medicine, Welsh School of Anaesthesia

What is Quality Improvement?Welsh Anaesthesia Seminar

Quality Improvement (QI), or Improvement Science, uses a systematic approach to design and implement changes in healthcare.  Knowledge of the methodology of QI is essential when considering improvements to the modern complex healthcare environment.  QI is also included as part of many postgraduate training curricula.

In March 2016, the AoMRC published its report: Quality Improvement – training for better outcomes, which sets out recommendations for quality improvement education and training.  The report has drawn together a wide range of organizations to align efforts to implement quality improvement training as a core competence in modern clinical practice, from undergraduate curricula through specialist curricula and beyond into Consultant practice.

The report represents a starting point for future development and aims to provide a structured framework to embed improvement methodology as a core competence for all doctors.

It is recognized that significant barriers remain, with a lack of parity in access to QI training and resources across organizations and specialties.  For many senior doctors and other members of the multi-professional team, the concept of QI remains a new idea.

The rotational nature of medical training means that doctors in training, working within multi-professional teams, are well placed to share areas of good practice and support QI development.

QI Training in Anaesthesia and Intensive Care Medicine in Wales

The Welsh School of Anaesthesia working in partnership with 1000 Lives Improvement have developed a QI Training programme for both doctors in training and trainers, to provide high quality training in the principles of QI and access to QI training resources to support innovation and excellence in healthcare.

This programme aims to provide high quality QI Training through the use of interactive workshops for trainees and support the development of QI networks of both trainers and trainees across Wales.  Furthermore, it is hoped that as part of the programme, access to high quality QI projects will be enhanced and individuals will be well supported in developing their own projects.  The programme includes the courses outlined below:

Quality Improvement in Anaesthetics – a 2 Day Interactive Workshop for Specialty Trainees

The Welsh School of Anaesthesia working in partnership with 1000 Lives Improvement offers an interactive workshop for trainees in Anaesthesia & Intensive Care Medicine in Wales.

The course provides the opportunity to learn from experts in quality improvement, who have experience of successful QI projects, to advance your own knowledge and skills in this area.

Candidates have the opportunity to develop their own QI project as part of the workshop, working in small groups to gain valuable hands on practical guidance.  Attendance at both days of the workshop and submission of a successfully completed project results in the award of IQT Silver Level Accreditation.

Feedback from delegates who attended the last workshop in 2015/2016:

‘Credible faculty full of useful information’

‘Really enthused me to do QI work’

‘Great reframing and moving on from audit, good interactive style’

Bronze Level Accreditation was completed via an e-learning package prior to attending the 2-day workshop.

As part of this programme, a further QI Training Workshop for specialty trainees in anaesthesia will be held this autumn.  Dates will be confirmed shortly and will be published on the Welsh School of Anaesthesia website.

Quality Improvement in Anaesthesia:  Introduction for Trainers (1 Day Course)

This 1-day introductory course for trainers focuses on the principles of Quality Improvement.

The course provides the opportunity for trainers in Anaesthesia in Wales to build on their knowledge of QI and its role as part of training in Anaesthesia and Intensive Care Medicine.

The course enables trainers to gain an understanding of the methodology and framework that underpins QI and its role in improving healthcare.  Participants will also have access to contacts with experience in this area that will be able to provide further support for QI initiatives locally.

Future areas for development:

As part of the ongoing development of the educational programme to support QI Training in Wales, there will be a number of new opportunities for trainers and trainees this autumn:

  • Welsh School of Anaesthesia Educational Supervisors Study Day, October 2016

The workshop will provide some background of the present scope of QI Training and provide the opportunity for trainers in Wales to gain an understanding of the methodology and framework of this developing area of postgraduate training, as part of an interactive workshop.

Society of Anaesthetists of Wales, Autumn Meeting, October 2016 will also include a presentation on QI Training in Anaesthesia in Wales by a member of the QI development programme, Dr. Katy Beard.

  • Working in partnership with other Specialty Schools to support QI Training in Wales

At present, members of the programme development team are working with the All Wales School of Emergency Medicine to develop a QI Training programme for Specialty trainees in Emergency Medicine.  This includes supporting trainers to develop a QI training network as well as mapping QI training areas against the requirements of postgraduate curricula.

Jul 072016
 

Dr Gethin Pugh, Ysgol Anaestheteg Cymru

Beth yw Gwella Ansawdd?Welsh Anaesth seminar

Mae Gwella Ansawdd (GA), neu Wyddor Gwella, yn defnyddio dull systematig o gynllunio newidiadau mewn gofal iechyd a’u rhoi ar waith.  Mae gwybodaeth am y fethodoleg GA yn hanfodol wrth ystyried gwelliannau i’r amgylchedd gofal iechyd cymhleth modern.  Mae GA hefyd yn cael ei gynnwys fel rhan o nifer o gwricwla hyfforddiant ôl-raddedig.

Ym mis Mawrth 2016, cyhoeddodd AoMRC ei adroddiad: Quality Improvement – training for better outcomes, sy’n nodi argymhellion ar gyfer addysg a hyfforddiant gwella ansawdd.  Mae’r adroddiad wedi dwyn ynghyd amrywiaeth eang o sefydliadau i gysoni ymdrechion i gynnwys hyfforddiant gwella ansawdd fel cymhwysedd craidd mewn ymarfer clinigol modern, o’r cwricwla israddedig i’r cwricwla arbenigol a thu hwnt i hynny i Ymgynghorwyr.

Mae’r adroddiad yn fan cychwyn ar gyfer datblygu yn y dyfodol a’i nod yw darparu fframwaith strwythuredig i ymgorffori methodoleg gwella fel cymhwysedd craidd ar gyfer pob meddyg.

Cydnabyddir bod rhwystrau sylweddol o hyd, gyda diffyg cydraddoldeb o ran mynediad i hyfforddiant ac adnoddau GA ar draws sefydliadau ac arbenigeddau.  I lawer o uwch feddygon ac aelodau eraill o’r tîm amlbroffesiynol, mae’r cysyniad o GA yn parhau i fod yn syniad newydd.

Mae natur gylchdro hyfforddiant meddygol yn golygu bod meddygon dan hyfforddiant, sy’n gweithio mewn timau amlbroffesiynol, mewn sefyllfa dda i rannu meysydd o arfer da a chefnogi datblygiad GA.

Hyfforddiant GA mewn Anaestheteg a Meddygaeth Gofal Dwys yng Nghymru

Mae Ysgol Anaestheteg Cymru, drwy weithio mewn partneriaeth â 1000 o Fywydau – Gwasanaeth Gwella, wedi datblygu rhaglen hyfforddi GA ar gyfer meddygon dan hyfforddiant a hyfforddwyr, i ddarparu hyfforddiant o ansawdd uchel mewn egwyddorion GA a mynediad i adnoddau hyfforddi GA i gefnogi arloesedd a rhagoriaeth mewn gofal iechyd.

Nod y rhaglen hon yw darparu hyfforddiant GA o ansawdd uchel drwy ddefnyddio gweithdai rhyngweithiol ar gyfer hyfforddeion a chefnogi datblygu rhwydweithiau GA o hyfforddwyr a hyfforddeion ar draws Cymru.  Ar ben hynny, y gobaith yw, fel rhan o’r rhaglen, y bydd mynediad i brosiectau GA o ansawdd uchel yn gwella a bydd unigolion yn cael cefnogaeth dda wrth ddatblygu eu prosiectau eu hunain.  Mae’r rhaglen yn cynnwys y cyrsiau a amlinellir isod:

Gwella Ansawdd mewn Anaestheteg – Gweithdy Rhyngweithiol Deuddydd i Hyfforddeion Arbenigol

Mae Ysgol Anaestheteg Cymru, drwy weithio mewn partneriaeth â Thîm 1000 o Fywydau – Gwasanaeth Gwella, yn cynnig gweithdy rhyngweithiol ar gyfer hyfforddeion mewn Anaestheteg a Meddygaeth Gofal Dwys yng Nghymru.

Mae’r cwrs yn cynnig y cyfle i ddysgu oddi wrth arbenigwyr mewn gwella ansawdd, sydd â phrofiad o brosiectau GA llwyddiannus, i hybu eich gwybodaeth a’ch sgiliau eich hun yn y maes hwn.

Caiff ymgeiswyr gyfle i ddatblygu eu prosiect GA eu hunain fel rhan o’r gweithdy, gan weithio mewn grwpiau bach i gael arweiniad ymarferol drwy brofiad uniongyrchol.  Drwy fynychu’r ddau ddiwrnod a chyflwyno prosiect a gwblhawyd yn  llwyddiannus cewch Achrediad IQT Lefel Arian.

Adborth gan y rhai a fynychodd y gweithdy diwethaf yn 2015/2016:

‘Cyfadran gredadwy sy’n llawn gwybodaeth ddefnyddiol’

‘Mae wedi tanio fy mrwdfrydedd i wneud gwaith GA’

‘Mae’n wych ail-fframio a symud ymlaen o waith archwilio, arddull rhyngweithiol dda’

Cwblhawyd Achrediad Lefel Efydd drwy becyn e-ddysgu cyn mynychu’r gweithdy 2 ddiwrnod.

Fel rhan o’r rhaglen hon, cynhelir Gweithdy Hyfforddi GA arall ar gyfer hyfforddeion arbenigol mewn anaestheteg yr hydref hwn.  Bydd y dyddiadau’n cael eu cadarnhau cyn bo hir ac yn cael eu cyhoeddi ar wefan Ysgol Anaestheteg Cymru.

Gwella Ansawdd mewn Anaestheteg:  Cyflwyniad i Hyfforddwyr (Cwrs Undydd)

Mae’r cwrs rhagarweiniol undydd hwn ar gyfer hyfforddwyr yn canolbwyntio ar egwyddorion Gwella Ansawdd.

Mae’r cwrs yn rhoi cyfle i hyfforddwyr mewn Anaestheteg yng Nghymru adeiladu ar eu gwybodaeth o GA a’i rôl fel rhan o hyfforddiant mewn Anaestheteg a Meddygaeth Gofal Dwys.

Mae’r cwrs yn galluogi hyfforddwyr i feithrin dealltwriaeth o’r fethodoleg a’r fframwaith sy’n sail i GA a’i rôl mewn gwella gofal iechyd.  Bydd cyfranogwyr hefyd yn cael mynediad at gysylltiadau â phrofiad yn y maes hwn a fydd yn gallu rhoi cymorth pellach ar gyfer mentrau GA yn lleol.

Meysydd i’w datblygu yn y dyfodol:

Fel rhan o ddatblygiad parhaus y rhaglen addysgol i gefnogi Hyfforddiant GA yng Nghymru, bydd nifer o gyfleoedd newydd i hyfforddwyr a hyfforddeion yr hydref hwn:

  • Diwrnod Astudio i Oruchwylwry Addysg gan Ysgol Anaestheteg Cymru, Hydref 2016

Bydd y gweithdy yn darparu rhywfaint o gefndir i’r Hyfforddiant GA presennol ac yn rhoi’r cyfle i hyfforddwyr yng Nghymru feithrin dealltwriaeth o fethodoleg a fframwaith y maes hwn o hyfforddiant ôl-raddedig sy’n datblygu, fel rhan o weithdy rhyngweithiol.

Bydd Cyfarfod Hydref Cymdeithas Anesthetyddion Cymru ym mis Hydref 2016 hefyd yn cynnwys cyflwyniad ar Hyfforddiant GA mewn Anaestheteg yng Nghymru gan aelod o’r rhaglen datblygu GA, Dr. Katy Beard.

  • Gweithio mewn partneriaeth ag Ysgolion Arbenigol eraill i gefnogi Hyfforddiant GA yng Nghymru

Ar hyn o bryd, mae aelodau o’r tîm datblygu rhaglenni yn gweithio gydag Ysgol Meddygaeth Frys Cymru Gyfan i ddatblygu rhaglen hyfforddi GA ar gyfer hyfforddeion Arbenigol mewn Meddygaeth Frys.  Mae hyn yn cynnwys cefnogi hyfforddwyr i ddatblygu rhwydwaith hyfforddiant GA yn ogystal â mapio meysydd hyfforddi yn erbyn gofynion cwricwla ôlraddedig.

May 202016
 
Stephanie Morris, Student Nurse at Bangor University

Stephanie Morris, Student Nurse at Bangor University

As a student nurse on clinical placement, I observed a service user disclose to an admitting nurse that he was homeless. He had become unwell as a result of excessive alcohol intake. During his hospital stay the service user repeatedly asked for help with housing, however no referrals or advice seeking calls were made to the Local Housing Authority or Voluntary sector. The service user’s medical needs were met during his hospital stay however he was unfortunately discharged to the streets as staff deemed him medically fit for discharge. This made me extremely sad and so I decided to explore the discharge process for homeless service users. The evidence in the literature identified that discharge to the streets is common and often due to a lack of nursing knowledge on the discharge process for this group which helped me to understand why staff may have made this decision.

As secretary of the Bangor University   Student Chapter I’ve been involved in quality improvement projects and this knowledge helped me to begin to think of ways in which services for the homeless could be improved. I began to consider areas for improvement and found that health promotion could be a method of raising awareness of

Health Promotion Display board at Health Centre

Health Promotion Display board at Health Centre

homelessness whilst improving attitudes towards this vulnerable group. I have since undertaken health promotion activities at a local health centre by designing and displaying a homeless health poster board to raise awareness and educate the staff on homelessness. I am an avid Twitter user and decided to use social media as a platform for sharing evidence, journals, news and updates on my project. This has proved to be beneficial in raising the profile for my project and connecting with other professionals undertaking work to improve outcomes for the homeless.

I have a keen interest in research and wanted to gain knowledge on homelessness that was inclusive of the views of the homeless individuals themselves to ensure my project had a strong evidence base. I approached a local homeless drop in centre with the idea of running art sessions for their homeless service users to provide a therapeutic service and gain knowledge to support my project. The managers of the centre were massively supportive and excited by my project and were keen to allow me to undertake this work. I now run weekly art therapy sessions to encourage service users to express themselves creatively and share their life experiences and stories during the sessions. I am using the art sessions as a method for data collection to find out their experiences as patients, and I’m learning a wealth of knowledge which I plan to use to improve the health services for homeless individuals. This project has taken off and has recently been funded by Betsi Cadwaladr Health board who are helping me to develop and use the knowledge I gain for quality improvement initiatives.

I could never have imagined how much the incident during my placement could have influenced me and my quality improvement journey. The art sessions I run have taught me so much about

Presenting my work at Bangor University Staff/Student Conference, 2015.

Presenting my work at Bangor University Staff/Student Conference, 2015.

homelessness and I am able to engage with the group that I wish so badly to help. A small idea which came about in my first year of nursing has now developed into a much bigger project where I feel I am making a difference to services for the homeless. I feel empowered and proud by how far I have come and excited for where this project will take me. I am hopeful for a brighter future and better health outcomes for this vulnerable group who are in desperate need of help.

Follow my project Health4Homeless on Twitter: @HHMatters

May 202016
 
Stephanie Morris, Student Nurse at Bangor University

Stephanie Morris

Fel myfyriwr nyrsio ar leoliad clinigol, roeddwn yn bresennol pan ddatgelodd defnyddiwr gwasanaeth i’r nyrs a oedd yn ei dderbyn i’r ysbyty ei fod yn ddigartref. Roedd yn wael ei iechyd o ganlyniad i yfed gormod o alcohol. Yn ystod ei arhosiad yn yr ysbyty gofynnodd y defnyddiwr gwasanaeth droeon am gymorth gyda thai, fodd bynnag, ni chafodd ei atgyfeirio ac ni wnaed unrhyw alwadau i’r Awdurdod Tai Lleol neu’r Sector Gwirfoddol yn gofyn am gyngor. Cafodd anghenion meddygol y defnyddiwr gwasanaeth eu diwallu yn ystod ei arhosiad yn yr ysbyty, fodd bynnag, cafodd ei ryddhau i wynebu bywyd ar y strydoedd gan fod y staff yn ystyried ei fod yn feddygol iach. Gwnaeth hyn i mi deimlo’n drist iawn ac felly penderfynais edrych ar y broses o ryddhau defnyddwyr gwasanaethau digartref. Roedd y dystiolaeth yn y llenyddiaeth yn nodi bod rhyddhau pobl i fyw ar y strydoedd yn beth cyffredin ac yn aml yn deillio o ddiffyg gwybodaeth y nyrsys am y broses ryddhau ar gyfer y grŵp hwn, ac roedd hynny’n help i mi ddeall pam y gallai staff fod wedi gwneud y penderfyniad hwn.

Fel ysgrifennydd Cymdeithas Myfyrwyr Prifysgol Bangor, rwyf wedi bod yn rhan o brosiectau gwella ansawdd ac mae’r wybodaeth hon wedi fy helpu i ddechrau meddwl am ffyrdd y gellid gwella

Bwrdd Arddangos Hybu Iechyd yn y Ganolfan Iechyd

Bwrdd Arddangos Hybu Iechyd yn y Ganolfan Iechyd

gwasanaethau ar gyfer y digartref. Dechreuais ystyried meysydd ar gyfer gwella a chanfod y gallai hybu iechyd fod yn ddull o godi ymwybyddiaeth o ddigartrefedd yn ogystal â gwella agweddau tuag at y grŵp bregus hwn. Ers hynny rwyf wedi cynnal gweithgareddau hybu iechyd mewn canolfan iechyd leol drwy ddylunio ac arddangos bwrdd posteri iechyd i’r digartref i godi ymwybyddiaeth ac addysgu’r staff am ddigartrefedd. Rwy’n defnyddio Twitter yn gyson a phenderfynais ddefnyddio’r cyfryngau cymdeithasol fel llwyfan i rannu tystiolaeth, cyfnodolion, newyddion a diweddariadau ar fy mhrosiect. Mae hyn wedi bod yn fuddiol o ran codi proffil fy mhrosiect a chysylltu â gweithwyr proffesiynol eraill sy’n ymgymryd â gwaith i wella canlyniadau ar gyfer y digartref.

Mae gennyf ddiddordeb brwd mewn ymchwil ac roeddwn yn awyddus i gasglu gwybodaeth am ddigartrefedd a oedd yn cynnwys barn unigolion digartref eu hunain i sicrhau bod gan fy mhrosiect sylfaen dystiolaeth gref. Cysylltais â chanolfan galw heibio leol i’r digartref gyda’r syniad o gynnal sesiynau celf ar gyfer eu defnyddwyr gwasanaethau digartrefedd er mwyn darparu gwasanaeth therapiwtig a chael gwybodaeth i gefnogi fy mhrosiect. Roedd rheolwyr y ganolfan yn gefnogol iawn ac yn teimlo’n gyffrous gan fy mhrosiect ac roeddent yn awyddus i ganiatáu i mi ymgymryd â’r gwaith hwn. Rwyf nawr yn cynnal sesiynau therapi celf wythnosol i annog defnyddwyr gwasanaethau i fynegi eu hunain yn greadigol a rhannu eu profiadau bywyd a’u straeon yn ystod y sesiynau. Rwy’n defnyddio’r sesiynau celf fel dull o gasglu data i ganfod eu profiadau fel cleifion, ac rwy’n cael cyfoeth o wybodaeth yr wyf yn bwriadu ei defnyddio i wella’r gwasanaethau iechyd i unigolion digartref. Mae’r prosiect hwn wedi bod yn llwyddiant ac yn ddiweddar cafodd ei ariannu gan Fwrdd Iechyd Betsi Cadwaladr sy’n fy helpu i ddatblygu a defnyddio’r wybodaeth rwy’n ei chael ar gyfer mentrau gwella ansawdd.

Ni allwn byth fod wedi dychmygu cymaint y gallai’r digwyddiad yn ystod fy lleoliad fod wedi dylanwadu arnaf a’m taith gwella ansawdd. Mae’r sesiynau celf rwy’n eu cynnal wedi dysgu cymaint i

Cyflwyno fy ngwaith yng Nghynhadledd Staff/Myfyrwyr Prifysgol Bangor, 2015

Cyflwyno fy ngwaith yng Nghynhadledd Staff/Myfyrwyr Prifysgol Bangor, 2015

mi am ddigartrefedd ac rwy’n gallu ymgysylltu â’r grŵp yr wyf mor awyddus i’w helpu. Mae syniad bach a gefais yn ystod fy mlwyddyn gyntaf o nyrsio bellach wedi datblygu’n brosiect llawer mwy lle rwy’n teimlo fy mod yn gwneud gwahaniaeth i wasanaethau i’r digartref. Rwy’n teimlo fy mod wedi cael fy ngrymuso ac yn falch o ba mor bell rwyf wedi dod ac rwy’n teimlo’n gyffrous ynglŷn â datblygiad y prosiect hwn yn y dyfodol. Rwy’n gobeithio am ddyfodol mwy disglair a chanlyniadau iechyd gwell ar gyfer y grŵp bregus hwn y mae angen cymorth arno’n ddybryd.

Dilynwch fy mhrosiect Health4Homeless prosiect ar Twitter: @HHMatters

Apr 302016
 
Catrin Pink

Catrin Pink

The journey from Mid Wales to Gothenburg was a long and tiring one, but anticipation kept me going as an exciting 3 days lay ahead!

The hall was packed for the Forum’s opening plenary by Dr Don Berwick. This was a great introduction to quality improvement through “The Red Bead Game” which showed that no matter how hard you try to drive staff to improve, nothing will change unless improvements are made to the system they work in. The speech was engaging and by the end I really felt I had a better grasp of the science behind quality improvement, which prepared me for the rest of the conference.

One of the most intriguing sessions I attended was on Gamification – the application of motivators and ideas from videogames in real life situations. It’s generally accepted that there are different learning styles that suit different people, but this session highlighted the importance of the different ways to engage and motivate people. Some individuals are motivated by the end goal, such as the sense of accomplishment of achieving their aim or the reward received; others by the skills they learn along the way or the friends they make.

During the session we had to split ourselves into groups according to what motivated us and come up with solutions to some healthcare problems that we’d find appealing. It was great to hear the thoughts and ideas of individuals from different health professions with similar goals to mine and then have the opportunity work together to solve the problem. I even took the microphone and gave feedback to the rest of the groups, which was a bit nerve-wracking since there were so many people!

I heard so many inspirational and thought provoking quotes from different speakers throughout the conference, it was difficult during some sessions to keep up with writing all the good ideas and different perspectives down. One message that particularly stuck in my mind was: “If we can’t treat ourselves well, how can we treat our patients well?” because it highlighted the importance of good communication and care between staff members as the foundation of quality improvement.

Doctors Advancing Patient Safety (DAPS) held a session aimed at students and young healthcare professionals explaining that it’s easier for newly or ‘soon-to-be’ qualified staff to think outside the box because “they’re not even in the box yet”.  It’s important to remember that everyone’s ideas for improvement are valid, regardless of their status or role. DAPS also host a patient safety summer school for young allied health professionals, which is definitely something I’ll be looking into!

On top of all the interesting talks and presentations, Ashley, Ellie and I compared quality improvement between our three different health courses, and even managed to squeeze in a chance to explore the city. Given the opportunity to attend the Forum again, I’d go back in a heartbeat.