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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

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

Lisa Skinner

And

Kate Marsden

DSNs, QA Hospital, Portsmouth.

who and why
Who and Why?
  • 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.

what helped
What helped?
  • NICE
  • DOH Self Assessment Tool, 2006
  • Members of team are DESMOND educators and part of the regional QD team.
how far have we got
How far have we got?
  • Identified programmes and a lead for each.
  • Process. Whole team review of;
      • Guidance
      • Philosophy
      • Theories

JIGSAW

BBC

New Type 1

SIG

Neuropathy

Pump

strengths challenges
Strengths / Challenges.
  • 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
bbc groups an example
BBC Groups….An Example…
  • 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
process
Process
  • 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
quality development
Quality Development
  • 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
examples
Examples….
  • 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’
examples10
Examples…..
  • 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