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
 

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/

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

Jul 012014
 

PeteStraw Image1A beautiful, sunny Llandudno greeted us on our arrival at the highly-anticipated 1000 Lives Improvement National Learning Event, a fantastic opportunity for healthcare practitioners and students to meet and discuss the notion of prudent healthcare and quality improvement within the NHS in Wales.

Welcome coffee and pastries lined the stomach for the launch session delivered by Professor Matthew Makin (Medical Director, BCUHB) and Dr Alan Wilson (Director, 1000 Lives Improvement), who introduced the concept of prudent healthcare – built on the three pillars of reducing avoidable harm, appropriately minimising intervention, and promoting co-production of health between service users and providers.

Continue reading »

May 132014
 
Angela Williams

Angela Williams

During my work as a Nursing Lecturer at Bangor University, I am always delighted to see students from the School of Healthcare Sciences feeling enthusiastic about quality improvement and patient safety.

So I wanted to highlight three ways that I’ve seen student nurses inspiring one another recently, and hopefully they will inspire you too! Continue reading »

Feb 252014
 

Marc Franklin reflects on the Institute for Healthcare Improvement’s National Forum in Florida, and thinks about some of the lessons he left with.

Joshua Kovoor, Dr Andy Carson-Stevens, Marc Franklin, Don Berwick, Gney Mehta, Amy Butlin, Hope Ward, and Beth McIldowie at the IHI Open School Congress

Above: Joshua Kovoor, Dr Andy Carson-Stevens, Marc Franklin, Don Berwick, Gney Mehta, Amy Butlin, Hope Ward, and Beth McIldowie at the IHI Open School Congress

Just before Christmas, along with  five other members of the 1000 Lives Student and Educator Community and the Cardiff Medics Student-Patient Chapter, I headed for Orlando, Florida to attend the Institute for Healthcare Improvement’s 25th Annual National Forum on Quality Improvement in Healthcare. We boarded the plane excited to join over 5000 other delegates, and join the discussion on patient safety and quality improvement.

We began by attending the Institute for Healthcare Improvement (IHI) Open School Chapter Congress, along with many of the Forum’s other student delegates from universities around the world. Don Berwick (President Emeritus and Senior Fellow at the IHI), who led the Congress, emphasised the importance of students approaching healthcare systems with “fresh eyes”, and the significance of students’ position as the future of healthcare.

We were then set the modest task of saving the NHS £1 billion! We worked together to put forward a suggestion for quality improvement – our idea was  moving away from the use of non-essential sterile swabs when cannulating a patient, toward the use of cheaper, non-sterile swabs. This was an idea which had the potential to make real savings, and it shows that a small change has the possibility of making a big impact. Continue reading »