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!!.

 

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.

Apr 292016
 

First in a series of three blogs by the student winners of our “Ask One Question” competition, Ellie Whittaker describes her experience at the International Forum on Quality and Safety in Gothenburg.


Ellie Whittaker

Ellie Whittaker

What an experience! I feel so privileged to have been given the opportunity to go to this year’s International Forum on Quality and Safety in Healthcare in Gothenburg. The speakers, the sessions, the venue and setting provided the perfect setting for me to get my first insight into quality improvement.

We, all 3300 delegates, were introduced to the Model for Improvement in the opening keynote, presented by Dr Donald Berwick, a very engaging and inspirational speaker!

Each day, we were presented with new and innovative ways that people all over the world had been working on, to improve the quality of their healthcare system. In Copenhagen they are encouraging patients with mental health illnesses to engage with their own care. They asked the patients; ‘What does dignity mean to you?’ allowing for improved patient centred care and to reduce the number of restraints used.

In Malawi, they had created a mobile app to be used by Health Surveillance Assistants to monitor the health of newborn babies in the community, rather than keep them all in hospital. This app was already starting to improve infant mortality rates. I was in awe that a developing country could be so forward thinking and felt inspired to start my own project.

After listening to the speakers, I attended the student and junior sessions, meeting junior professionals from Australia, Copenhagen and Sweden. I was fortunate to spend the evening with two students from Australia and Manchester, sharing ideas and thoughts on the healthcare in our different countries.

Ellie 2Ellie 1  Ellie 3

In the evenings we also got the opportunity to do some exploring of the city of Gothenburg. After crossing over the many cycle, pedestrian, tram lanes we found the harbour and some lovely places to eat.

On the final day we heard from Maureen Bisognano who empowered us to ask our patients ‘What matters to you?’ which is such a short easy question that can allow us to provide more personal care specific to those we’re providing care to. And from her final plenary I learnt that working multi-professionally, in a multigenerational team with a holistic mindset will allow us to improve the quality of care we provide to patients.

Thank you 1000 Lives Improvement for such an amazing experience!