Staff Publication

Supported self-management for all with musculoskeletal pain: an inclusive approach to intervention development: the EASIER study (2023)

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Type of publication:
Journal article

Author(s):
Healey, Emma L.; Lewis, Martyn; Corp, Nadia; Shivji, Noureen A.; van der Windt, Danielle A.; Babatunde, Opeyemi O.; *Simkins, Joanna; Bartlam, Bernadette; Rowlands, Gill; Protheroe, Joanne

Citation:
BMC Musculoskeletal Disorders, June 2023, 24(1): 1-21

Abstract:
Background: Supported self-management interventions for patients with musculoskeletal (MSK) conditions may not adequately support those with limited health literacy, leading to inequalities in care and variable outcomes. The aim of this study was to develop a model for inclusive supported self-management intervention(s) for MSK pain that take account of health literacy. Methods: A mixed methods study with four work-packages was conducted: work package 1: secondary analysis of existing data to identify potential targets for intervention; work package 2: evidence synthesis to assess effective components of self-management interventions taking into account health literacy; work package 3: views of community members and healthcare professionals (HCPs) on essential components; work package 4: triangulation of findings and an online modified Delphi approach to reach consensus on key components of a logic model. Findings: Findings identified targets for intervention as self-efficacy, illness perceptions, and pain catastrophizing. A range of intervention components were identified (e.g. information in diverse formats offered at specific times, action planning and visual demonstrations of exercise). Support should be multi-professional using a combination of delivery modes (e.g. remote, face-to-face). Conclusions: This research has developed a patient-centred model for a multi-disciplinary, multi-modal approach to supported self-management for patients with MSK pain and varying levels of health literacy. The model is evidence-based and acceptable to both patients and HCPs, with potential for significant impact on the management of MSK pain and for improving patient health outcomes. Further work is needed to establish its efficacy.

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Fluid Balance Charts (2022)

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Type of publication:
Service improvement case study

Author(s):
*Clare Walsgrove, *Lynette Williams

Citation:
SaTH Improvement Hub, May 2022

Abstract:
In order to maintain the overall health of our patients, it is important to maintain fluid balance levels. Understanding a patients fluid status can give an overall indication of health.

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Improve legibility of clinical notes on surgical wards (2023)

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Type of publication:
Service improvement case study

Author(s):
*Fraser Morgan

Citation:
SaTH Improvement Hub, May 2023

Abstract:
To reduce the incidence of Nurses on Wards 33 and 37 having to clarify plans with Doctors when following written notes by 10% by 25 April 2023.

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Improved efficiency and safety Drugs Trolley - Ward 9 (2022)

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Type of publication:
Service improvement case study

Author(s):
*Agnieszka Dubek-Hawliczek (Sister) and *Carol Bulger (Ward Manager)

Citation:
SaTH Improvement Hub, September 2022

Abstract:
Colleagues are currently covering multiple staffing gaps and each drugs trolley has a variety of drugs and a different layout which could result in delays to patients receiving their medication or receiving the wrong medication in error along with poor staff satisfaction. Following a meeting with the Deputy Director of Nursing- Medicine, it was requested that all wards within the division are planned in to have a review of the drugs trolleys on the ward area and encouraged to utilise 5S principles.

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Improved efficiency and safety Drugs Trolley - Ward 22RE (2022)

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Type of publication:
Service improvement case study

Author(s):
Ward 22RE – *Gemma Lewis (Nursing Associate) and* Leanne Barkess (Ward Manager)

Citation:
SaTH Improvement Hub, July 2022

Abstract:
Colleagues are currently covering multiple staffing gaps and each drugs trolley has a variety of drugs and a different layout which could result in delays to patients receiving their medication or receiving the wrong medication in error along with poor staff satisfaction. Following a meeting with the Deputy Director of Nursing- Medicine, it was requested that all wards within the division are planned in to have a review of the drugs trolleys on the ward area and encouraged to utilise 5S principles.

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Improved efficiency and safety ED Paediatric Storeroom (2022)

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Type of publication:
Service improvement case study

Author(s):
*Abi Kelly (Sister) and *Pauline Roberts (Housekeeper)

Citation:
SaTH Improvement Hub, September 2022

Abstract:
The ED Paediatric is a new facility and the storeroom is small and requires 5s intervention as the storeroom is often cluttered, making it difficult to maintain IPC standards, while at the same time, maintaining a safe working environment. To be successful, it will be necessary to involve EDC operators, HCAs, Nursing Staff and Housekeepers.

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Care after Death delivered in SaTH (2022)

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Type of publication:Service improvement case study

Author(s):*Debbie Snooke Project Lead, Swan EOLC Specialist Nurse *Jules Lewis, Swan EOLC Facilitator & Lead Nurse *Miriam Gilbert, Swan EOLC Specialist Nurse

Citation:SaTH Improvement Hub, October 2022

Abstract:To improve care delivered to our patients after death, the Palliative and End of Life Care team created a training video, checklist and prompt to ensure that care is delivered in line with the Trust Care after Death Policy.

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Improved efficiency and safety Drugs Trolley - Ward 10 (2022)

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Type of publication:Service improvement case study

Author(s):*Ann Allsop (Sister), *Gary Francis (Ward Manager)

Citation:SaTH Improvement Hub, June 2022

Abstract:Colleagues are currently covering multiple staffing gaps and each drugs trolley has a variety of drugs and a different layout which could result in delays to patients receiving their medication or receiving the wrong medication in error along with poor staff satisfaction. Following a meeting with the Deputy Director of Nursing- Medicine, it was requested that all wards within the division are planned in to have a review of the drugs trolleys on the ward area and encouraged to utilise 5S principles.

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Improved efficiency and safety Drugs Trolley- Ward 27 (2022)

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Type of publication:Service improvement case study

Author(s):*Layla Brice (Ward Manager)

Citation:SaTH Improvement Hub, July 2022

Abstract:Colleagues are currently covering multiple staffing gaps and each drugs trolley has a variety of drugs and a different layout which could result in delays to patients receiving their medication or receiving the wrong medication in error along with poor staff satisfaction. Following a meeting with the Deputy Director of Nursing- Medicine, it was requested that all wards within the division are planned in to have a review of the drugs trolleys on the ward area and encouraged to utilise 5S principles.

Link to PDF poster [no password required]