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We are a team of about 5 WTE DSNs (covering the acute trust and local PCTs), Endocrine ... DOH Self Assessment Tool, 2006. Members of team are DESMOND educators and part of the ...

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Structured education how do we know we are doing a good job l.jpg

Structured Education – How do we know we are doing a good job?

Lisa Skinner

And

Kate Marsden

DSNs, QA Hospital, Portsmouth.


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Who and Why? job?

  • We are a team of about 5 WTE DSNs (covering the acute trust and local PCTs), Endocrine Nurse Specialist and dietitians.

  • We are a team with a history of trying to review the effectiveness of our interventions ……..

    In short

  • …….. Its what we try to do! BUT

    Historically has been less structured and more focused on our

    1:1consultations.


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What helped? job?

  • NICE

  • DOH Self Assessment Tool, 2006

  • Members of team are DESMOND educators and part of the regional QD team.


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How far have we got? job?

  • Identified programmes and a lead for each.

  • Process. Whole team review of;

    • Guidance

    • Philosophy

    • Theories

JIGSAW

BBC

New Type 1

SIG

Neuropathy

Pump


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Strengths / Challenges. job?

  • The QD process supports personal, professional and service development even before the end result is achieved

  • Team commitment

  • Time

  • Mixture of personalities within team

  • Training


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BBC Groups….An Example… job?

  • Structured group education for conversion to a basal bolus insulin regimen

  • 4 sessions over a period of 6 months facilitated by a DSN, Specialist Dietitian or both

  • Participants explore frustrations with their current insulin regimen and are assisted to set specific and realistic goals for the programme

  • HbA1c, body weight and PAID and WHO are assessed prior to sessions and on completion of the course


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Process job?

  • Underpinning philosophy and educational theories (whole team review)

  • Writing the curriculum:

    • Learning opportunities

    • Content

    • Educator activity

    • Participant activity

    • Session plan

  • Quality Development

  • Development of competencies

  • Programme evaluation


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Quality Development job?

  • 6 trained Educators

  • QD to begin in 2009 on an internal basis

  • QD ‘tool’ taken from the curriculum to ensure:

    • That the educators are grounded in our departmental philosophy for structured education (educator behaviours)

    • That the content for each session is covered


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Examples…. job?

  • Content Covered:

    • Identification of participants frustrations with their current insulin regimen and what they hope to achieve by changing to basal bolus (goals)

    • Introduction to carbohydrates including the ‘carbohydrate game’


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Examples….. job?

  • Process:

    • Assists participants to identify their frustrations with their current insulin regimen by asking open questions that enable reflection

    • Assists participants to identify what they hope to achieve by changing their insulin regimen to basal bolus through asking open questions and allowing time for reflection

    • Facilitates the ‘Carbohydrate Game’ enabling a discussion around participants’ questions and learning