Jun 072017
 

Sera Llewelyn Davies

I recently had the privilege of attending the International Forum on Quality and Safety in Healthcare in London. I was allowed to choose a total of nine sessions that were held over two days. I was very interested in all the sessions, so it was difficult to choose as there were many interesting events taking place.

After travelling from North Wales to London, I was looking forward to attending the forum on Thursday morning. The venue was full of individuals from across the world and I was extremely lucky to be there to learn and share ideas.

The day began with a word of welcome and announcements, which then led on to the first session, entitled ‘International Quality and Safety: where are we now and where are we going to?’ lead by Donald Berwick and Lord Darzi. The session included a discussion on what needs to be changed and how this will happen in years to come.

After attending a variety of sessions over the two days, one that stood out was the second session on the Thursday, ‘How leaders navigate the way’. The main lesson that I learnt from this session was ‘I’ve got the gift’, which is a culture within leadership to improve quality. That gift is passed on down the line to the next person. It is important to remember that it is a path and not a map, which means that it takes time to travel down that path to implement actions. There is a great deal of pressure in the health and care sector. I learnt that, in order to improve quality, this is the gift, with empowerment, engagement and culture being an important part of how we would lead within a placement. I will certainly take that message back and put it into practice on the ward in future, in order to make changes and emphasise the importance of everyone working together and being involved in any action that is taken. Questions must be asked about how to assess, improve safety and improve the service and, as a result, improve experiences. In order to make a difference, I have some ideas for helping new staff on the ward by producing an information booklet and placing an educational notice board on the ward. I learnt a lesson to take back to my workplace, namely that changing and improving quality is a process similar to cooking, and what makes it tasty is collaboration to make something work successfully.

At the end of the two days, I had learnt a great deal. My mind is full of ideas, and I will take them back to my workplace where I work as a New Registered Nurse.

I am very pleased that I entered the #Hellomynameis competition, and will continue with the work of campaigning on the ward. If you are a student nurse or a medical student, you can enter and you could be lucky enough to attend a forum such as this in the future. I am looking forward to attending another forum in the future as part of my work as a nurse. The work of improving the quality of care for patients needs to continue to ensure they have the best care possible. The forum and working with the 1000 Lives staff was extremely inspirational.

Emma Morgan-Williams

Wow! I feel so privileged, honoured and humbled to think that my entry to the “Hello my name is” competition, led to me being given the opportunity to attend this year’s International Forum on Quality and Safety in Healthcare at the Excel London. The speakers were world class and I have to confess to being a little star struck; I had to pinch myself. As a first year nursing student to be able to attend the sessions at such a renowned conference was an honour.

The opening keynote was delivered by Dr Donald Berwick, and Professor Lord Ara Darzi which then was followed by a panel that also included Margaret Murphy, External Lead Advisor for WHO Patients for Patient Safety Programme and Anya De Longh, Self management coach and patient. The panel agreed that greater patient involvement is the way forward.

Another keynote session focussed on ‘Patient Innovators’ and how the impact of technology is creating innovations from patients who proudly shout #WeAreNotWaiting for the mass market to find solutions for their conditions.

Instead these patients are researching, and developing positive solutions through self management to improve their lives and those of others with similar health conditions. I have recently been on an outpatient placement at a diabetic clinic, and I couldn’t wait to share the innovation of Tim Omer, Diabetes Advocate who developed a ‘Tic tac’ glucometer and Artificial Pancreas System. I have shared with colleagues on my placement the innovative work of Sara Riggare, a PhD student at Karolinska Instituet in Sweden and self care expert, who has developed a digital self care mapping tool for the management of her own Parkinson’s disease.

The Friday morning key note was by Jason Leitch, National Clinical Director at The Scottish Government and Derek Feely, President and CEO of IHI, who encouraged us to ask our patients ‘What matters to you?’ This simple concept really inspired me so much that I have since suggested that our Swansea University Student Chapter gets involved in a “What matters to you day 2017”. This simple, yet effective question can help us to provide more holistic and person centred care. As the mother of a child who is deaf I could easily relate; I know if I asked my son “What matters to you?” it wouldn’t be hospital appointments, or hearing aids, it would be football and swimming, demonstrating beautifully that patients are more than just their condition.

One of the real highlights for me was listening to Ingrid Brindle patient of Haughton Thornley Medical Centres and the Chair of Haughton Thornley Patient Participation Group, along with Dr Amir Hannan, GP at Haughton Thornley Medical Centres and Chair of World Health Innovation Summit, who both spoke about the patient #empowerlution – an empowerment revolution. Advocating for full disclosure and individual access to medical records, which they believe will ultimately lead to better patient care.

I also had the opportunity to speak to many people about a variety of issues. These included the 1000 Lives Improvement programmes on Safe staffing levels, sepsis and safer pregnancy campaign to name a few. This opportunity would not have presented itself had I not attended the conference. As a student I made full use of the reading materials which I know I will use in order to build my knowledge and as reference materials for my written assignments.

Listening to Colonel Chris Hadfield, former military test-pilot and astronaut, also gained me a few credibility points with my children, and taught me that the sky really is the limit when delivering quality patient centred care.

Thank you 1000 Lives Improvement for such an amazing experience! I am sure the impact of this conference will carry on throughout the rest of my professional career. I hope that you run a similar competition next year, in order to give another student like myself a learning opportunity that is incomparable to any learning opportunity I have experienced as a student.

Jun 072017
 

Sera Llewelyn Davies

Yn ddiweddar cefais y fraint o fynychu Fforwm Rhyngwladol ar Ansawdd a Diogelwch mewn Gofal Iechyd yn Llundain. Cefais ddewis naw sesiwn i gyd â oedd ymlaen ystod y ddau ddiwrnod. Roeddwn gyda  llawer o ddiddordeb ym mhob un ohonynt, ac felly yn anodd dewis rhai gan fod yna llawer o bethau diddorol ymlaen.

Ar ôl trafeilio o Ogledd Cymru i Lundain ar brynhawn Mercher, mi roeddwn yn edrych ymlaen at fynychu’r fforwm bore Iau. Mi roedd yr adeilad yn llawn o unigolion o bob man o’r byd ac roeddwn yn hynod lwcus i gael dysgu, rhannu syniadau.

Dechreuodd y diwrnod gydag Agoriad o groesawu a chyhoeddiadau gan ddilyn ymlaen i’r sesiwn cyntaf sef ‘International Quality and Safety where are we now and where we going to?’ o dan ofal Donald Berwick ac Lord Darzi. Roedd y sesiwn yn cynnwys beth fydd angen a sut i newid hyn ymhen blynyddoedd.

Wrth fynd i amrywiaeth o sesiynau dros y ddau ddiwrnod, sesiwn â wnaeth sefyll allan oedd yr ail sesiwn ar y dydd Iau, ‘How leaders navigate the way’. Prif beth dysgais o’r sesiwn yma oedd ‘ I’ve got the gift’ sef diwylliant o fewn arweinyddiaeth er mwyn gwella ansawdd ei fod yn anrheg. Mae’r anrheg hynny yn cael ei basio ymlaen lawr llwybr i’r person nesaf. Rhaid cofio mae llwybr ydyw ac nid map, sy’n golygu ei bod yn cymryd amser i fynd lawr y llwybr hynny i roi pethau ar waith. Mae yna bwysau mawr o fewn y maes iechyd a gofal. Dysgais er mwyn gwella ansawdd hyn yw’r anrheg, gyda ‘empoweremnet, engagment + culture’ yn rhan fawr o sut byddem yn arweinio o fewn lleoliad. Byddaf yn sicr mynd ar neges hyn yn ôl drwy ei weithredu ar y ward yn y dyfodol, er mwyn newid rhywbeth a’r pwysigrwydd fod pawb yn gyd weithio ac yn cynnwys pawb yn y weithred. Rhaid cwestiynu ar gyfer sut i asesu, gwella diogelwch, gwella’r gwasanaeth a drwy hynny angen profiadau. Er mwyn gwneud gwahaniaeth syniadau bach ar gyfer helpu staff newydd ar y ward drwy wneud llyfryn gwybodaeth a bwrdd hysbysfwrdd addysgol ar y ward. Dysgais gan gofio mynd ar ddyfyniad hyn yn ôl i le rwy’n gweithio bod newid a gwella ansawdd yn broses fel coginio ar hyn sydd yn rhoi blas yw’r cyd weithio i wneud rhywbeth weithio yn llwyddiannus.

Ar ddiwedd y ddau ddiwrnod, roeddwn wedi dysgu llawer o bethau. Gyda syniadau yn dod yn fyw yn fy meddwl, er mwyn mynd a nhw nôl i’r lleoliad lle rwy’n gweithio fel Nyrs Newydd Gofrestredig.

Rwy’n hynod o falch fy mod wedi ymgeisio am y gystadleuaeth #Helofyenwiydy, gan barhau gyda’r gwaith o ymgyrchu yn y ward. Os ydych yn fyfyriwr nyrsio neu myfyriwr meddygaeth ymgeisiwch ac mi fyddwch yn hynod ffodus o gael fynychu fforwm fel hyn yn y dyfodol. Mewn amser rwy’n edrych ymlaen eto i fynychu yn rhan o’r gwaith fel nyrs. Mae angen parhau gyda gwella ansawdd cleifion er mwyn iddyn nhw gael bob gofal gorau posib. Roedd y fforwm a chyd weithio gyda gweithwyr 1000 o fywydau yn hynod o ysbrydoledig.

Emma Morgan-Williams

Waw! Mae’n fraint ac anrhydedd meddwl bod fy nghais i’r gystadleuaeth “Helo fy enw i ydy…” wedi arwain at y cyfle i fynd i Fforwm Rhyngwladol ar Ansawdd a Diogelwch mewn Gofal Iechyd yn Excel Llundain eleni. Roedd y siaradwyr o’r radd flaenaf ac roeddwn i wedi gwirioni arnynt; roedd yn rhaid imi binsio fy hun. Fel myfyrwraig nyrsio blwyddyn gyntaf roedd yn anrhydedd cael mynd i’r sesiynau mewn cynhadledd mor enwog.

Rhoddwyd y brif araith agoriadol gan Dr Donald Berwick, a’r Athro yr Arglwydd Ara Darzi a ddilynwyd gan banel a oedd hefyd yn cynnwys Margaret Murphy, Cynghorydd Arweiniol Allanol Rhaglen Diogelwch Cleifion ar gyfer Cleifion Sefydliad Iechyd y Byd ac Anya De Longh, hyfforddwr hunanreoli a chlaf. Cytunodd y panel mai sicrhau mwy o gyfranogiad gan gleifion yw’r ffordd ymlaen.

Canolbwyntiodd prif sesiwn arall ar ‘Gleifion sy’n Arloesi’ a sut mae effaith technoleg yn galluogi cleifion i arloesi a gweiddi’n falch #NidYdymYnAros i’r farchnad fawr ddod o hyd i atebion ar gyfer eu cyflyrau.

Yn lle hynny mae’r cleifion hyn yn ymchwilio i atebion cadarnhaol drwy hunanreoli er mwyn gwella eu bywydau a bywydau eraill â chyflyrau iechyd tebyg a datblygu’r atebion hyn. Rwyf wedi bod ar leoliad cleifion allanol mewn clinig diabetig yn ddiweddar, ac nid oeddwn yn gallu aros i rannu arloesedd Tim Omer, Eiriolwr Diabetes a ddatblygodd fesurydd glwcos ‘Tic tac’ a System Pancreas Artiffisial. Rwyf wedi rhannu â chydweithwyr ar fy lleoliad waith arloesol Sara Riggare, myfyrwraig PhD yn Karolinska Instituet yn Sweden ac arbenigwraig hunanofal, sydd wedi datblygu offeryn mapio hunanofal i reoli ei chlefyd Parkinson ei hun.

Roedd y brif araith ar fore dydd Gwener gan Jason Leitch, Cyfarwyddwr Clinigol Cenedlaethol yn Llywodraeth yr Alban a Derek Feely, Llywydd a Phrif Swyddog Gweithredol IHI, a anogodd ni i ofyn i’n cleifion ‘Beth sy’n bwysig i chi?’ Roedd y cysyniad syml hwn wedi fy ysbrydoli cymaint ac ers hynny rwyf wedi awgrymu bod ein Cymdeithas Myfyrwyr Prifysgol Abertawe yn cymryd rhan mewn “Diwrnod beth sy’n bwysig i chi 2017”. Gall y cwestiwn syml, ond effeithiol hwn ein helpu i ddarparu gofal mwy cyfannol sy’n canolbwyntio ar y person. Fel mam plentyn sy’n fyddar gallwn uniaethu â hyn yn hawdd; rwy’n gwybod pe bawn yn gofyn i fy mab “Beth sy’n bwysig i ti?” nid apwyntiadau ysbyty na chymhorthion clyw fyddai’r ateb. Yr ateb fyddai pêl-droed a nofio, gan ddangos yn hyfryd bod cleifion yn fwy na dim ond eu cyflyrau.

Un o’r uchafbwyntiau i mi oedd gwrando ar Ingrid Brindle, claf Canolfannau Meddygol Haughton Thornley a Chadeirydd Grŵp Cyfranogi Cleifion Haughton Thornley, ynghyd â Dr Amir Hannan, meddyg teulu yng Nghanolfannau Meddygol Haughton Thornley a Chadeirydd Uwchgynhadledd Arloesi Iechyd y Byd, a siaradodd y ddau am y claf #empowerlution – chwyldro o ran grymuso. Gwnaethant eirioli ar gyfer datgelu llawn a mynediad unigol i gofnodion meddygol, a fydd, yn eu barn hwy, yn arwain at well gofal cleifion yn y pen draw.

Cefais y cyfle hefyd i siarad â llawer o bobl am amrywiaeth o faterion. Roedd y rhain yn cynnwys y rhaglenni 1000 o Fywydau a Mwy – Gwasanaeth Gwella ar lefelau staffio diogel, sepsis a’r ymgyrch beichiogrwydd mwy diogel i enwi ond ychydig. Ni fyddai’r cyfle hwn wedi codi pe na bawn wedi mynd i’r gynhadledd. Fel myfyrwraig gwnes ddefnydd llawn o’r deunyddiau darllen ac rwy’n gwybod y byddaf yn eu defnyddio er mwyn adeiladu fy ngwybodaeth ac fel deunyddiau cyfeirio ar gyfer fy aseiniadau ysgrifenedig.

Yn ogystal, drwy wrando ar y Cyrnol Chris Hadfield, cyn-beilot prawf milwrol a gofodwr, llwyddais i greu argraff ar fy mhlant, a dysgais nad oes terfyn wrth gyflwyno gofal o ansawdd sy’n canolbwyntio ar y claf.

Diolch 1000 o Fywydau a Mwy – Gwasanaeth Gwella am brofiad mor wych! Rwy’n siŵr y bydd effaith y gynhadledd hon yn parhau drwy gydol gweddill fy ngyrfa broffesiynol. Gobeithio y byddwch yn cynnal cystadleuaeth debyg y flwyddyn nesaf, er mwyn rhoi cyfle dysgu i fyfyriwr arall, cyfle na ellir ei gymharu ag unrhyw beth yn fy mhrofiad i fel myfyrwraig.

Jun 062017
 

Kathryn Topple is a second year adult nursing student and Chapter member at Bangor University.

I wanted to attend the 1000 Lives National Conference as I felt this would further my knowledge and experience of integrated care within the health service.

I felt extremely privileged to have the opportunity to attend as this also developed of my understanding of how multidisciplinary team working within NHS Wales is improving the quality of care that patients receive.

The highlight of my day was having the opportunity to meet Professor Sir Mansel Aylward, Chair of Public Health Wales who also supported the development of 1000 Lives Improvement. This was extremely interesting as we were able to discuss how the improvement service became an established its drive to improve patient care, ultimately leading to the saving of lives.

This experience was thoroughly enjoyable and worthwhile experience and I would whole-heartedly encourage future student nurses to apply to attend subsequent conferences if the opportunity arises.

Fern Williams is a second year adult field student nurse studying in Bangor University.

I was very fortunate to attend the 1000 Lives National Conference at the Celtic Manor in Newport on Wednesday 29 March. The conference involved a number of guest speakers all presenting around the theme of integrating care and the connections to make it happen. Evidence suggests that integrated care can assist in improving fragmentation in health care, but also assist in improving patients quality of life (Sun, Tang, Ye, Zhang, Bo and Zhang, 2014).

The day was very interesting, but two plenaries in particular stood out for me.

The first was by Anna Sussex who is a Frequent Attenders Case Load Manager at Cardiff and Vale UHB, who developed a Frequent Attenders’ Project. Anna stated in her presentation that the Emergency Department where she is situated has 8,000 patients who are classed as frequent attenders, and who have generated nearly 32,000 visits in the last 12 months, at a basic cost of £3.2million to the Health Board. In terms of the project, Anna set up a Multi-disciplinary team, including staff members of the emergency department, Welsh Ambulance Services NHS Trust and out of hours and also included other services such as third party and volunteers, working collaboratively together.

The project helped to identify patients who are inappropriately accessing the services due to a number of reasons. Due to this, a key worker is assigned to a frequent attender dependent in their need such as social isolation.

Anna herself stated on the day that the project has helped to promote independence and re-integrate the individuals back into their community. Statistics on her slide showed that there was an 84% decrease in frequent attenders attending the emergency services and a 95% decrease in costs.

I was also interested in the talk led by Brendan Martin on behalf of Jos De Blok, the founder of the Buurtzorg Care Model, who was unfortunately unable to attend. The Buurtzorg Care Model was founded in 2006/2007 by Jos De Blok himself. The Buurtzorg care model involves nursing teams, with 12 in each and with between 40-60 patients in each team. It was understood that the teams mean professionals are working more efficiently and effectively, helping to improve person centred care. I like the idea of around 60 patients between 12 nurses as it means each nurse has 5 patients. Jos De Blok himself has said it allows the staff to have more time with their patients, I feel that this will help to build a therapeutic relationship. As well as a therapeutic relationship, it will provide continuity of care. Barker (2017) expresses that continuity of care helps with patient satisfaction and actually improves quality of life for those patients with long term conditions.

I was also provided with the opportunity to speak with Chair of Public Health Wales, Professor Sir Mansel Aylward who was interested to know about ourselves as student nurses and what was important to us. I explained to Sir Mansel that I love working with the elderly and am extremely passionate delivering care and promoting independence in patients with dementia. I told him that as an ageing population, it is important that people should have an awareness and understanding of dementia and how it can not only affect the individual but also the individual’s family members. Palmer (2012) explains how relatives have often cared for their loved one for years and are experts but it can be psychologically and physically draining.

In the future I know I definitely would like to do something to help those individuals with dementia. For example, an idea already for my dissertation surrounds nutrition and dementia (which is what I chose for my PCAN assignment). I have actually read how patients who have dementia have a 25% increase in nutritional intake when their food is served on a red plate. As patients with dementia are often reluctant to eat for a number of reasons. I feel that with the appropriate research and time that this is something I could implement within my local health board.

References

Barker, I. (2017) Association between continuity of care in general practice and hospital admissions for ambulatory care sensitive conditions: cross sectional study of routinely collected, person level data. British Medical Journal. http://www.bmj.com/content/356/bmj.j84

Palmer, J. (2012) Caregivers’ Desired Patterns of Communication with Nursing Home Staff—Just TALKKK! Journal of Gerontological Nursing. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3670746/

Sun X., Tang, W., Ye, T., Zhang, Y., Bo, W., Zhang, L (2014). Integrated care: a comprehensive bibliometric analysis and literature review. International Journal of Integrated Care. http://www.ijic.org/articles/10.5334/ijic.1437/

Jun 062017
 

Mae Kathryn Topple yn fyfyrwraig nyrsio oedolion yn ei hail flwyddyn ac yn aelod o Gymuned Prifysgol Bangor.

Roeddwn am fynd i Gynhadledd Genedlaethol 1000 o Fywydau oherwydd roeddwn yn teimlo y byddai hyn yn hybu fy ngwybodaeth a’m profiad o ofal integredig yn y gwasanaeth iechyd.

Braint fawr oedd cael cyfle i fod yn bresennol oherwydd bod hyn hefyd wedi datblygu fy nealltwriaeth o sut mae gweithio tîm amlddisgyblaethol yn GIG Cymru yn gwella ansawdd y gofal mae cleifion yn ei dderbyn.

Uchafbwynt fy niwrnod oedd cael cyfle i gyfarfod â Syr Mansel Aylward, Cadeirydd Iechyd Cyhoeddus Cymru a gefnogodd ddatblygu 1000 o Fywydau – Gwasanaeth Gwella hefyd. Roedd hyn yn eithriadol o ddiddorol am ein bod yn gallu trafod sut y cafodd y gwasanaeth gwella ei sefydlu, ei ymgyrch i wella gofal cleifion, gan arwain at arbed bywydau yn y pen draw.

Roedd y profiad hwn yn bleserus iawn ac yn werth chweil a byddwn yn annog nyrsys sy’n fyfyrwyr yn y dyfodol i wneud cais i fynd i gynadleddau dilynol os bydd y cyfle yn codi.

Mae Fern Williams yn fyfyrwraig nyrsio maes oedolion sydd yn ei hail flwyddyn ym Mhrifysgol Bangor.

Roeddwn yn ffodus iawn cael mynd i Gynhadledd Genedlaethol 1000 o Fywydau yn y Celtic Manor yng Nghasnewydd ddydd Mercher 29 Mawrth. Roedd y gynhadledd yn cynnwys nifer o siaradwyr gwadd i gyd yn cyflwyno o amgylch y thema integreiddio gofal a’r cysylltiadau i wireddu hynny. Mae tystiolaeth yn awgrymu y gall gofal integredig gynorthwyo wrth wella darnio mewn gofal iechyd, ond y gall gynorthwyo hefyd wrth wella ansawdd bywyd cleifion (Sun, Tang, Ye, Zhang, Bo a Zhang, 2014).

Roedd y diwrnod yn ddiddorol iawn, ond roedd dwy sesiwn lawn benodol yn rhagori.

Roedd y gyntaf gan Anna Sussex sy’n Rheolwr Llwyth Achosion Mynychwyr ym Mwrdd Iechyd Prifysgol Caerdydd a’r Fro, a ddatblygodd Brosiect Mynychwyr. Nododd Anna yn ei chyflwyniad fod yr Adran Frys lle mae wedi’i lleoli yn cynnwys 8,000 o gleifion sy’n cael eu dosbarthu fel mynychwyr, ac sydd wedi cynhyrchu bron 32,000 o ymweliadau yn y 12 mis diwethaf, am gost sylfaenol o £3.2miliwn i’r Bwrdd Iechyd. O ran y prosiect, sefydlodd Anna dîm Amlddisgyblaethol, gan gynnwys aelodau staff yr adran frys, Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru a’r gwasanaeth y tu allan i oriau ac roedd hefyd yn cynnwys gwasanaethau eraill fel trydydd partïon a gwirfoddolwyr, sy’n cydweithio gyda’i gilydd.

Helpodd y prosiect i nodi cleifion sy’n cael mynediad amhriodol i’r gwasanaethau o ganlyniad i nifer o resymau. Oherwydd hyn, mae gweithiwr allweddol yn cael ei neilltuo i fynychwr sy’n ddibynnol yn ei angen fel arwahanrwydd cymdeithasol.

Nododd Anna ei hun ar y diwrnod fod y prosiect wedi helpu i hyrwyddo annibyniaeth ac ailintegreiddio’r unigolion yn ôl i mewn i’w cymuned. Dangosodd ystadegau ar ei sleid fod gostyngiad o 84% o ran mynychwyr gwasanaethau brys a gostyngiad o 95% o ran costau.

Roedd gennyf ddiddordeb hefyd yn y sgwrs a arweiniwyd gan Brendan Martin ar ran Jos De Blok, sylfaenydd Model Gofal Buurtzorg, nad oedd yn gallu bod yn bresennol yn anffodus. Sefydlwyd Model Gofal Buurtzorg yn 2006/2007 gan Jos De Blok ei hun. Mae model gofal Buurtzorg yn cynnwys timau nyrsio gyda 12 ym mhob un a chyda rhwng 40 a 60 o gleifion ym mhob tîm. Deallwyd bod y timau’n golygu bod gweithwyr proffesiynol yn gweithio’n fwy effeithlon ac effeithiol, gan helpu i wella gofal sy’n canolbwyntio ar y person. Rwy’n hoffi’r syniad o tua 60 o gleifion rhwng 12 o nyrsys gan ei fod yn golygu bod 5 claf gan bob nyrs. Mae Jos De Blok ei hun wedi dweud ei fod yn galluogi’r staff i dreulio mwy o amser gyda’u cleifion. Rwy’n teimlo y bydd hyn yn helpu i feithrin perthynas therapiwtig. Yn ogystal â pherthynas therapiwtig, bydd yn darparu parhad gofal. Mae Barker (2017) yn mynegi bod parhad gofal yn helpu gyda boddhad cleifion ac yn gwella ansawdd bywyd i’r cleifion hynny â chyflyrau hirdymor.

Cefais hefyd gyfle i siarad â Chadeirydd Iechyd Cyhoeddus Cymru, yr Athro Syr Mansel Aylward ac roedd ganddo ddiddordeb mewn gwybod amdanom fel nyrsys sy’n fyfyrwyr a’r hyn sy’n bwysig i ni. Esboniais wrth Syr Mansel fy mod yn dwlu gweithio gyda’r henoed ac rwy’n hynod angerddol ynghylch darparu gofal a hyrwyddo annibyniaeth mewn cleifion â dementia. Dywedais wrtho, fel poblogaeth sy’n heneiddio, ei bod yn bwysig y dylai pobl gael ymwybyddiaeth a dealltwriaeth o ddementia a sut y gall nid yn unig effeithio ar yr unigolyn ond ar aelodau o deulu’r unigolyn hefyd. Mae Palmer (2012) yn esbonio sut mae perthnasau yn aml wedi gofalu am eu hanwyliaid am flynyddoedd ac yn arbenigwyr ond gall fod yn straen seicolegol a chorfforol.

Yn y dyfodol rwy’n gwybod y byddwn yn bendant yn hoffi gwneud rhywbeth i helpu’r unigolion hynny â dementia. Er enghraifft, mae syniad sydd gennyf eisoes ar gyfer fy nhraethawd hir yn ymwneud â maethiad a dementia (sef yr hyn a ddewisais ar gyfer fy aseiniad PCAN). Rwyf wedi darllen sut mae gan gleifion â dementia gynnydd o 25% o ran y maeth maent yn ei gael pan fydd eu bwyd yn cael ei weini ar blât coch. Oherwydd bod cleifion â dementia yn aml yn amharod i fwyta am nifer o resymau. Rwy’n teimlo gyda’r ymchwil a’r amser priodol bod hwn yn rhywbeth y gallwn ei weithredu o fewn fy mwrdd iechyd lleol.

Cyfeiriadau

Barker, I. (2017) Association between continuity of care in general practice and hospital admissions for ambulatory care sensitive conditions: cross sectional study of routinely collected, person level data. British Medical Journal. http://www.bmj.com/content/356/bmj.j84

Palmer, J. (2012) Caregivers’ Desired Patterns of Communication with Nursing Home Staff—Just TALKKK! Journal of Gerontological Nursing. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3670746/

Sun X., Tang, W., Ye, T., Zhang, Y., Bo, W., Zhang, L (2014). Integrated care: a comprehensive bibliometric analysis and literature review. International Journal of Integrated Care. http://www.ijic.org/articles/10.5334/ijic.1437/

Mar 162017
 

The 2017 #HelloMyNameIs student competition asked healthcare students to submit a 500-word reflective piece on where they’ve used the phrase “Hello! My name is…” and how it’s helped their development as a healthcare professional. Our second winner, Sera Llywelyn Davies of Bangor University won on the strength of this submission:


Sera Llywelyn Davies, Bangor University

Hello my name is Sera and I am a third year nursing student at Bangor. A simple statement makes a big difference to patient experiences within the health service. In terms of experience, introducing yourself and generally chatting and communicating with patients is crucially important. You establish an interaction and build a relationship with the patient whilst improving the quality of care. You naturally get to know the patient, which helps with care planning, collaboration and implementing their care. By introducing yourself to patients and their families they feel valued, and uplifted as they feel safe. Being cared for through the medium of Welsh is crucial and the passion to provide a bilingual service for patients is important.  It is important that patients are able to express themselves in their mother tongue.

I reflect on my experience when I was on a clinical placement on a surgical ward. I was charged with caring for a group of patients, where patients receive pre- and post-operative care. At the beginning of duty, I would go around the patients greeting them with a smile … “Good morning, ‘Hello my name is Sera, I’m a nursing student, how are you feeling this morning?”. I felt the warmth between myself and the patient when they talked about their health, life and in general conversation about everyday life. I will focus on a day when a patient came to the bay from recovery after being treated a few hours earlier. The patient’s pain was being managed and he felt uncomfortable following surgery. I introduced myself by saying ‘Hello my name is Sera’ and welcomed the patient to the ward. The patient told me how grateful he was for being able to have a conversation in Welsh. As a nurse it’s important to respect the values and beliefs of patients through dignified care at all times. I explained what was going to happen within the first few hours, for example that a number of observations would be completed such as blood pressure, pulse, temperature, respiratory pulse etc. Secondly, I explained to the patient that he could call me if he needed anything. After ensuring that the patient was settled and content, I went to see to the other patients. As I left the bay, the patient called me to ask for pain relief medication. This demonstrated how important and effective it is to start a conversation with the simple phrase ‘Hello my name is’. It shows that small things make a big difference in relation to the care that patients receive.

The campaign must contine to encourage others to start every conversation with ‘Hello my name is’. Inspired by my experience, this will stay with me throughout my career as a nurse. I would like to see this development being rolled out and used across the health service.

Remember, always introduce yourself and wear your #Helo my name is… ID badge.

Mar 162017
 

Sera Llywelyn Davies, Prifysgol Bangor

Helo fy enw i ydy Sera, rwy’n fyfyrwraig nyrsio trydedd flwyddyn ym Mangor. Mae datganiad syml yn gwneud gwahaniaeth mawr i brofiadau cleifion o fewn gwasanaeth iechyd. O ran profiad, mae cyflwyno eich hun ac yn gyffredinol sgwrsio a chyfathrebu effeithiol gyda cleifion yn holl bwysig. Rydych yn magu rhyngweithio ac adeiladu perthynas rhwng y chi a’r claf gan sicrhau gwella ansawdd. Yn naturiol rydych yn dod i adnabod y claf,ble bydd hyn yn helpu i gynllunio gofal,annog i gyd weithio a gweithredu eu gofal.Wrth gyflwyno eich hunan i’r cleifion a’u teuluoedd maent yn teimlo’n werthfawr,ac yn galonogol drwy deimlo’n ddiogel.Credir fod cael eu gofalu drwy gyfrwng y Gymraeg yn holl bwysig, mae’r angerdd i rhoi gwasaneth dwy ieithog i gleifion yn bwysig.  Mae’n bwysig bod cleifion yn gallu mynegi eu hunain yn eu mamiaith.

Wrth adfyfyrio ar brofiad a ddigwyddodd imi, roeddwn ar leoliad clinigol ar ward llawfeddygol. Cefais ofalu am grŵp o gleifion, ble roedd cleifion yn derbyn gofal tuag at gofal cyn llawdriniaeth, ac ar ôl llawdriniaeth. Ar ddechrau dyletswydd,byddwn yn  mynd o gwmpas y cleifion gan eu cyfarch gyda gwen … “Bore da, ‘Helo fy enw i ydy Sera, rwy’n fyfyrwraig nyrsio, sut ‘ydych yn teimlo bore yma?”. Teimlais y cynhesrwydd rhwng y claf a mi pan roeddent yn siarad am eu hiechyd, eu bywyd ac yn sgwrsio yn gyffredinol am bywyd bob dydd.Canolbwyntiaf ar y diwrnod yma, yn y bae cefais glaf yn dod o adran adferiad ar ôl derbyn triniaeth ychydig oriau ynghynt. Mi roedd y claf dal o dan reolaeth at boen a teimlo’n anesmwyth o’r llawdriniaeth. Cyflwynais fy hunan ‘Helo fy enw i ydy Sera’ a croesawu’r claf i’r ward. Dywedodd y claf wrthai faint o ddiolchgar oeddo am gael sgwrs yn y Gymraeg. Fel rôl nyrs mae’n bwysig sicrhau gwerthoedd a credoau cleifion drwy gofal urddasol bob amser. Eglurais beth oedd yn mynd i ddigwydd o fewn yr oriau cyntaf er enghraifft angen cyflawni nifer o arsylwadau megis pwysau gwaed, pỳls, tymheredd, curiad resbiradol ac ati. Yn ail, eglurais wrth y claf iddo alw arnai os bydd ef angen rhywbeth. Ar ôl sicrhau bod y claf yn gartrefol ac yn fodlon, roeddwn wedi mynd at gweddill o’r cleifion. Wrth fynd allan o’r bae, roedd y claf wedi galw arnaf angen i gael meddyginiaeth tuag at boen. O’r sefyllfa yma,dangoswyd pa mor bwysig ac effeithiol yw dechrau sgwrs gyda’r frawddeg syml ‘Helo fy enw i ydy’. Dangosir fod pethau bychain yn gwneud gwahaniaeth mawr o fewn gofal mae’r cleifion yn eu derbyn.

Rhaid parhau i ymgyrchu ac annog eraill i ddechrau bob sgwrs gyda Helo fy enw i ydy. Yn ysbrydoledig a drwy brofiad, mi fydd hyn yn parhau imi drwy gydol fy ngyrfa fel Nyrs. Hoffwn i weld y datblygiad yma yn ehangu ac yn cael ei ddefnyddio ar draws y gwasanaeth iechyd.

Cofiwch,gyflwyno eich hunain bob amser a gwisgwch eich bathodyn adnabod #Helo fy enw i ydy…

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!!.