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Cultivating Compassion: A Year of Making a Difference

Join us as we showcase the efforts of The Glenbourne Unit, an acute mental health unit in Plymouth, in cultivating a culture of compassion. Learn about their journey, challenges, and the impact it has had on patient care. Discover the power of compassion measures and the use of video in promoting self-care and mindfulness.

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Cultivating Compassion: A Year of Making a Difference

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  1. Main title slide page Co-brand logo here Welcome Cultivating Compassion Vicky Romback & Dr Lindsay Aikman

  2. What a Difference a Year Makes…

  3. Who are we? • The GlenbourneUnit • Acute Mental Health Unit in Plymouth • One male and one female ward 19 beds each • Place of Safety Suite • Proactive in embracing QI ethos and methodology for some time

  4. Why Cultivating Compassion? Welcome Main title for slide set Optional sub title or name “a healthcare organisation’s culture is a critical factor in the development of its patient safety climate and in the successful implementation of quality improvement initiatives.” Organisational culture: variation across hospitals and connection to patient safety climate (Speroffet al. 2010: 592)

  5. Welcome Main title for slide set Optional sub title or name A Framework for Safe, Reliable, and Effective Care IHI White Paper

  6. Learning from deaths Welcome “We did nothing ‘wrong’” “Allow us to grieve”

  7. AIM PRIMARY DRIVERS Self-care / self-awareness Building resilience / role modelling / giving permission Tuning in to distress / responding to distress Embedding / training / communication

  8. AIM PRIMARY DRIVERS Self-care / self-awareness Building resilience / role modelling / giving permission Tuning in to distress / responding to distress Embedding / training / communication

  9. Measurement Baseline measures • Compassion focused measures • Compassion for others (Pommier) • Self-compassion(Neff) • Professional quality of life • Warwick-Edinburgh wellbeing scale • The Future Scale (Snyder et al.) Data collection on change ideas • Mindfulness for staff • Incident huddles The SCORE survey

  10. Who was involved in the project? Welcome Main title for slide set Optional sub title or name • All staff invited to complete measures (130 pax) • 43% response rate compassion measures • 76% response rate SCORE survey • Monthly working party – rotating membership • Minutes shared back to team via brief video • On going work in smaller pockets of people (connects to multiple other projects)

  11. D DATA FEEDBACK TO FRONTLINE STAFF S P A A P S D D S P A A P S D A P S D PDSA Testing ramps: Incident huddle Cycle 1E: Sharing feedback more widely Practice supervision Cycle 1D: Planning attendance in advance Cycle 1C: Input from various staff roles Cycle 1B: Preparation Cycle 1A: Logistics:Suitability for ward & facilitator availability

  12. Example… Wider system Person-specific

  13. Qualitative feedback on the incident huddle Feels like you’re problem solving as a team It empowers us more to feel like we’re making a difference Good to chew it over and realise that we’ve done everything we can I’m more mindful of what’s happening on the other ward and them us Whatever we’ve implemented has helped us better manage future similar incidents

  14. D DATA FEEDBACK TO FRONTLINE STAFF S P A A P S D D S P A A P S D A P S D PDSA Testing ramps: Staff mindfulness Cycle1E: Staff being more comfortable to use on wards for selves and patients Cycle 1D: Make own videos to meet unit’s needs Cycle 1C: Planning ahead for most helpful videos Cycle 1B: Getting a bespoke tablet and speaker, build in to work day Cycle 1A: Informing staff about apps

  15. Qualitative feedback on using mindfulness in the workplace When everything is spiralling, it helps to ground you. Job role can include lots of heavy emotive topics and can be draining, so can be important to have some space from that. A nice cleanse. If it’s too prescriptive it doesn’t work. Work isn’t the right place to do it, it makes me feel emotional and tearful and I try not to open that side of myself whilst at work. When your head is full and you have just received a lot of information it can be nice to just stop.

  16. Wheel of Awareness, Siegel 2018

  17. Challenges & Barriers Acute clinical environment Change ‘below the water level’ is slow Staff struggling to prioritise themselves Shifts and rotas

  18. Unintended consequences Welcome Main title for slide set Optional sub title or name The compassion-measures are an intervention in and of themselves Discovered the power/flexibility of video Enforced mindfulness!!

  19. Learning • Simultaneously going fast and going slow

  20. What next? Welcome Main title for slide set Optional sub title or name • Extend the project • Keep up the good work!

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