Slide1 l.jpg
This presentation is the property of its rightful owner.
Sponsored Links
1 / 22

Community Nurses Measure Up PowerPoint PPT Presentation

Community Nurses Measure Up DID

Download Presentation

Community Nurses Measure Up

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Slide1 l.jpg

Community Nurses Measure Up

DID

V

Alison Wallis: Nursing Clinical Advisor,

Data Intelligence Group

Lee Davies: Project Manager,

Data Development


Slide2 l.jpg

  • Agenda

    • Background

    • Benefits

    • Communication and Engagement

    • The Dataset

    • Outcome

    • Reporting

    • Terminology Mapping

    • What’s next?


Slide3 l.jpg

Background

  • Electronic Patient Record

    • Need for standardised information for sharing patient information and secondary uses

  • Lack of other information sources about Community Nursing, e.g. Practice Team Information (PTI) and ISD 29/30 incomplete

  • AHP Census, September 2005 - Provided previously unknown information across Scotland, e.g.

    • Number of patients on caseload

    • Most common interventions

    • Most common conditions


  • Slide4 l.jpg

    The Census

    • 24th April 2008 – National, One Day

    • Web Based System

    • Focussing on Community Nursing Teams -

      District Nursing

      School Nursing

      Health Visiting

      Treatment Room Nursing

      Family Health Nursing


    Slide5 l.jpg

    Benefits

    1. Support development of the Electronic Patient Record for use by Community Nurses:

    • Establish Minimum Nursing Dataset

    • Identify standard terminology and national data standards

    • 2. Provide information and intelligence to support service redesign, workload management and policy decisions:

      • Diversity of Health problems

      • Variation in nursing practice, roles, location

      • Provide national nursing baseline

    • 3. Communication with Community Nurses through workshops and training sessions

      • raised awareness of need for standardising information in clinical records

      • gained insight into the power of information

      • gained insight into the complexity of their day to day work using their terms to describe it

      • demonstrated the motivation and drive of community nurses to work together to make themselves heard


    Communication and engagement l.jpg

    Communication and Engagement

    Communication through Community Health Partnership Leads and Directors of Nursing

    User Reference Groups - Scenarios

    Awareness Sessions

    Website and publicity material e.g. newsletters

    Pilots

    Training Sessions

    Help desk


    The scenarios l.jpg

    The Scenarios

    1.General Development Programme

    2.Elderly Gent, Lives alone

    3.Educating carer in procedure

    4.Reduced Fluid Intake

    5.Check Environment

    6.Behavioural Temper Tantrum


    Nursing problems interventions l.jpg

    Nursing: Problems, Interventions

    Bladder/Bowel Care

    Care Management

    Carers

    Pregnancy Postnatal

    Infant/Child Development

    Family Care

    Emotional/Psychological Issues

    Equipment

    Health Promotion

    Long Term Condition Management

    Medication

    Mobility

    Nutrition / Fluids

    Personal Care

    Risk Management

    Social Circumstances

    Symptom Management

    Teaching

    Procedures

    Skin/Wound Care


    Slide9 l.jpg

    • General Development Programme (I)

      Infant/Child Development

    • Elderly Gent, Lives alone (P)

      Social Circumstance(s)

    • Educating carer in procedure (I)

      Teaching

    • Check Environment (I)

      Risk Management

    • Reduced Fluid Intake (P)

      Symptom Management

    • Behavioural Temper Tantrum (P)

      Infant/Child Development


    Slide10 l.jpg

    The Census Dataset

    • About the Nurse: Registered/ unregistered with SPQ/ SVQ

      Caseload holder / caseload size

      Non-patient related activity

    • About the patient: Age, ethnic group, gender

    • About the care: Nursing Problem / Intervention(s)

      • Aim of Care

      • Medical diagnosis

      • Intensity (Child Health)

      • Planned frequency of care

    • About the patient contact: Individual/ group/ clinic

      Face to face, telephone, etc

      Location

      Planned/ unplanned

      Reason for more than 1 staff member


    The census experience l.jpg

    The Census Experience

    IT Issues – ISD and Local

    Access

    Helpdesk

    IT Awareness

    Communication


    Slide12 l.jpg

    Outcome

    First fully electronic, national data collection initiative for community nursing

    Staff

    3385 (74%) staff working on Census Day completed the census form


    Slide13 l.jpg

    District Nurse:

    North Lanarkshire CHP

    Registered Without SPQ

    Made individual contacts only

    Also did some practice development work

    Saw 3 patients:

    Male 91Problems:Skin/Wound Care – Leg Ulcer

    Interventions:Skin/Wound Care – Leg Ulcer Care

    Medical Diagnosis:Circulatory System Disease – Peripheral Vascular Disease

    Care:Planned Curative, Face to Face in patients home occurring once a week.

    Female 72Problems:Skin/Wound Care – Wound Care

    Interventions:Skin/Wound Care – Surgical Wound Care

    Medical Diagnosis:Injury – Fracture of Tibia and Fibula

    Care:Planned Resolution, Face to Face in patients home occurring twice a week.

    Female 38Problems:Bladder/Bowel – Urinary Catheter in Situ

    Medications – Unable to take Med’s

    Skin/Wound Care – At risk of Pressure Sore

    Interventions:Bladder/Bowel – Catheter Care

    Medication – Administration

    Skin/wound Care – Pressure Ulcer Prevention

    Medical Diagnosis:Paraplegia

    Care:Planned Stabilisation, Face to Face visit in patients home, is occurring once a day.


    Analytical tables l.jpg

    Analytical Tables

    Reported at Scotland Level Only

    • Participation and Contacts

      Participation numbers and percentage

      Skill Mix – Registered and non-Registered

      Number of Patients seen – by service

      Number of Contacts, Proportion of Planned Contacts – by service

      Non-Patient Activity – by service type


    Analytical tables 2 l.jpg

    Analytical Tables (2)

    Reported at Scotland Level Only

    • Clinical Analysis

      Aim of Care for Individual and Groups/ Clinics by service type

      • Intensity of Care by service type (Child Health)

      • Nursing Problems High Level Categories by service type

      • Nursing Interventions High Level Categories by service type

      • Medical Diagnosis High Level Categories by service type

    • Analysis by Patient

      Age and Gender by Service type

      • Ethnicity


    Slide16 l.jpg

    What’s Next?

    Report

    • Identify local champions to assist with information dissemination

    • Work with key stakeholders to identify and answer further questions from the data

    • Distribute local data to their respective boards and support local analysis and interpretation of this in its local context


    Slide17 l.jpg

    Possible Further Questions

    • What skill levels for each service type is associated with particular nursing interventions?

    • What is the difference in caseload numbers for different skill levels for each service type?

    • What range of nursing interventions were carried out for patients or clients seen as individuals,

    • groups or in clinics?.

    • What nursing problemsdo patients have who had 2 contacts from the same member of

    • staff for each service type?

    • What nursing problems and interventions were undertaken for patients across each

    • service type who had an unplanned contact?.

    • Which non patient related activity was undertaken by each skill levels for each

    • service type?

    • What nursing problems are associated with a particular care aim?

    • What care aims are associated with particular medical diagnosis?

    • What care aims are associated with particular contact types.

    • Is there any relationship between care aim and intended frequency of future visit?

    • What different types of nursing problems and interventions are offered to families with

    • children who require additional and intense levels of care intensity?

    • What nursing problems arise from specific medical diagnosis?

    • Where no medical diagnosis exists, what interventions are being carried out and why?

    • What interventions are associated with particular nursing problems?

    • What nursing interventions are undertaken by different skill levels in each service type?

    • What interventions were undertaken by each service type where no medical diagnosis

    • was identified?


    Slide18 l.jpg

    Refine

    • Review the Dataset to further support other nursing initiatives i.e. NMWWPP

    • Review the definitions i.e. Planned/Un-planned Care, Caseload

    • Enhance pick list values to ensure they fully reflect the nature of nursing team activities.

    • Explore concept of nursing diagnosis to better identify nursing problems

    • Revise categories of non-patient activity

    • Progress the development of the International Classification of Nursing Practice Catalogue in partnership with the International Council for Nurses


    Slide19 l.jpg

    Existing

    Systems

    PTI

    Scenarios

    NANDANICNOC

    • Flexible

    • Comprehensive

    • Adaptable

    • Transferable

    • Comparable

    Omaha

    Categorised

    lists

    HomeHealthcareClassification

    Census

    ICNP

    Terminology Mapping (1)


    Slide20 l.jpg

    Additional problems &

    Interventions from

    Census comments

    ICN

    +

    Scottish

    terms

    Terminology

    Mapping

    Tool

    ICNP

    Scottish Catalogue

    of

    Community Nursing

    Terminology Mapping (2)

    Categorised

    lists


    Slide21 l.jpg

    Repeat

    • Refine the web based data capture system and develop a process to make it available for more frequent application or for the use of specific staff groups

    • Identify sponsors and resources for any future local or national census initiatives


    Slide22 l.jpg

    Report Published 25th November 2008

    www.isdscotland.org

    Provide us with your e-mail address and we will send you the link to access the report


  • Login