7/27/2019 SIP 3 Interim Progress Reports
1/24
1. SIP (Service Improvement Project) 3 Interim Progress Proforma
Intervention-led SIP
Please detail a brief project plan here
To create an instruction / guidance folder for systems within an out of hours
Emergency Duty Team.
Email team members to inform them of project and to request feedback of
any areas with which they are having difficulties so these can be included in
the instruction folder.
I will write up and produce laminated instruction sheets which will act as
guides for staff to assist with their performance of duties within a busy out of
hours social services team.
In order to keep this project manageable and small I will begin by introducing
approx. 10 sheets for various systems. The project will be Intervention Led as the need has already been identified.
The email to staff will assist with the creation of the instruction folder.
Once in place I will give staff one month to trial the folders
The evaluation will take place via focus group to discuss how useful the
intervention has been and to identify future needs for expanding the folder.
Please detail the extent of your progress here
I have emailed staff to advise re plan for Instruction Folder and request any
further feedback.
I am working with management re implementation of intervention
I am in process of designing instruction sheets
Research question/s: Please detail the question/s your research will answer here
Has the provision of an Instructions Folder improved confidence levels of staff
in the performance of their role within an Emergency Duty Team?
Has the Instructions Folder improved consistency of practice within the team?
Progress on Research input: Please detail your progress in evaluating the intervention here
I have received a positive response to my email advising colleagues of my
planned intervention
Staff are in agreement re need for an Instructions Folder and have offered
ideas for input to the folder.
7/27/2019 SIP 3 Interim Progress Reports
2/24
General comments: Please place any issues or concerns here
The Team are going through a difficult time at present with many staff
changes, no permanent Team Manager and current staff under muchpressure covering extra shifts and working overtime.
Due to working three times my usual hours I have less time to devote to
study than anticipated so have fallen behind.
I had hoped to trial intervention with new and old staff however new staff will
not be in place till mid to end of April.
7/27/2019 SIP 3 Interim Progress Reports
3/24
2. SIP 3 Interim Progress proforma
Enquiry-led SIP
Project plan:
March: prepare for and seek permission from County Council and NHS Trust for
completion of focus groups and semi-structured interviews. Have completed:
Focus group structure
Semi-structured interview questions
Information forms
Consent forms.
I have discussed the focus groups in our team meeting. I have also emailed the team,
requesting they keep a provisional date free. Unfortunately this is not until the 1st
May, as I will not have approval from the County prior to the Easter school holidays,
when lots of staff members will be off. However, I am aiming to complete the
interviews during this period.
April:
Distribute information sheets and obtain consent from all participants.
Complete Semi-structured interviews.
May:
Complete focus groups on the 1/05/14.
Complete thematic analysis.
Take steps towards addressing identified problem.
June:
Steps to address problem to have been implemented by 6/06/14.
Write up to begin.
July:
Simple evaluation of change to process to be completed via email by 5/07/14.
Write up to be completed and hand in by 28/07/14.
7/27/2019 SIP 3 Interim Progress Reports
4/24
Research question/s:
What are the challenges and/or difficulties you have when following these
procedures?
What do you think would improve this for you?
Progress on Research input: As above. Disappointing that I am not able to complete
the focus groups earlier, but this is due to school holidays followed by my own
annual leave, which is taking up a significant chunk of April.
Progress on intervention: N/A as focus groups/interviews have not been completed
yet, cannot expand any more than plan above.
General comments: Still hoping that Im on track! Due to the school holidays being in
April, I think May will be fairly busy. But I still feel that in keeping the project small
and focused, I will be able to implement the change and evaluate within the above
time frame.
7/27/2019 SIP 3 Interim Progress Reports
5/24
3. SIP 3 interim Progress Proforma
Enquiry-led SIP
Project plan:The aim of the service improvement project is to improve the rate of
compliance with the MCA amongst care coordinators.
Research question/s:Section 2 of the PSIP attempts to define a question which will be
directly related to the project aim. I settled on the following question; How closely do mental
health workers in an Older Adult Community Mental Health Team comply with the Mental
Capacity Act?. Feedback from my tutors included the fact that the questions should focus on
the key issues (or factors) involved in practitioners achieving close compliance with the
MCA. This above question provides a close alignment with my focus group. That is, the
questions presented to my colleagues will be more concerned with the factors they feel aid or
inhibit their compliance with the MCA. This reflection has focused my thinking on what
questions I might present to my colleagues in order to better understand what intervention
might improve their compliance with the MCA.
Progress on Research input:Consent form, focus group interview guide and information
sheet are all completed. The pilot group was held on 21/03/2014 and provided some very
helpful learning points to consider when planning and facilitating my focus group.
Housekeeping: Remembering to ask the participants to switch their phones off and ensure that
they are not obstructing any cars in our car park (an ongoing problem on our site).
Ethics of the participation of workers with line management relationships: Prospectiveparticipants feel that there would be a more candid exchange if their line managers were not
present. The initial idea was for all care coordinators (including the lead social worker and
lead occupational therapist) to be invited to participate. I will now negotiate the removal of
these colleagues from the list of participants invited.
Language: Dont use jargonistic language during the focus group; use language which is
accessible to all.
Sound quality: All participants could be clearly heard on the digital recording from a one and
a half meter range. My humming in agreement with the statements of the participants seemed
to interfere with the clarity of the sound. This would be an issue if I attempted to transcribe.
7/27/2019 SIP 3 Interim Progress Reports
6/24
Progress on intervention: From preliminary indications from colleagues and my initial
findings from my pilot group, I have begun to think about what form my intervention would
take.
General comments:PlanFull Focus group to be held on 4thApril 2014, 10:00h.
Intervention to be designed by mid April and implemented throughout May. Evaluation will
be carried on in mid-June, with the majority of the analysis completed by then.
7/27/2019 SIP 3 Interim Progress Reports
7/24
4. SIP 3 Interim Progress Proforma
Intervention-led SIP
Project plan:
My SIP is intervention led because it is concerned with change management which is
a well recognized and theorized discipline. My SIP focuses on transition, which is the
term used to describe the process by which people adapt emotionally to new
situations. I am applying this knowledge to my particular service change
circumstance. I will be using an established change management tool, the Personal
Transition Curve (PTC), to capture a snapshot of how my staff are feeling about the
work place changes they are experiencing. The PTC self-assessments will then
inform a response strategy which will also constitute my SIP intervention. After 3
months of exposure to this intervention staff will be asked to complete a repeat
evaluation of their feelings about change and a comparison will be made with theoriginal assessment results. This will enable me to assess the progress of staff
towards adoption of the new service structures and to draw conclusions regarding
the impact of my intervention.
Progress on intervention:
Following BU ethics approval; project information sheets, participant consent forms
and the initial personal transition curve response sheets were distributed in
November 2013. 19 curves were sent out and 16 were returned. The responses were
mapped on to the companion curve in the NHS Change Management Navigating
Change toolkit. The majority of the responses (9) fell in the third quadrant of the
companion curve which indicates that regular and reliable information about what is
happening during the change is required to enable the team to process and
internalize the changes, feel involved and encouraged, and to move forward on the
PTC. The remaining 6 respondents were further forward in their assimilation of the
changes and required clear direction to enable them to establish themselves in their
new environment. Overall both these objectives, namely provision of reliable
information and provision of a clear direction, could be met by increasing the
frequency of communication between me and my team.
The nineteen members of my team are spread the length and breadth of Dorset. I
felt that it was important that everybody got the same information at the same time.
This meant that a face to face verbal communication strategy was impractical and
that the medium for communication had to be email.
Since 3rdJanuary 2014 I have been writing a weekly newsletter which has covered 4
key areas of change in our service namely general non specific change, technological
change, clinical change and management change. I have also added in an end of the
month 15 min CPD section where I attach some articles which relate to an
information strand which has been in the Newsletter previously. I hope that this
draws attention up from the shop floor for a moment of respite whilst still being, inmy view, relevant!
7/27/2019 SIP 3 Interim Progress Reports
8/24
I recognise that I am only using this one vehicle for my communication intervention.
This will be open to scrutiny in my SIP final evaluation.
Research question:
Does the use of change management techniques help staff in the Community Adult
Speech and Language Therapy Team cope with change?
Progress on Research input:
I have yet to collect my second set of transition curve data so have done no analysis.
I have noted that if I ask for information in response to content it is largely
unsuccessful. I therefore am not sure whether this means that the newsletter is not
read or that staff dont see the newsletter as an appropriate medium for two way
communication! It may alternatively be that the items I include are not thought to be
of interest or benefit. I choose the items because I consider them to be of value in
setting context or explaining purpose and so contributing to the establishment of a
common understanding of context. I do see that this is in my opinion only and it may
be the wrong approach. These are issues to consider in the evaluation of the SIP.
General comments:
I have also been keeping a reflective diary. The set of questions which I answer alsocome from the Navigating Change toolkit and provide a fixed framework within
which I can capture my feelings and observations about what has been happening
during each of my working days. This was a late in the day decision and not part of
my original plan but I thought it would be interesting to capture my own progress
through the SIP period as a counterpoint.
7/27/2019 SIP 3 Interim Progress Reports
9/24
5. SIP 3 Interim Progress Proforma
Enquiry-led SIP
Project plan:
I plan to interview local faith group leaders to gather information relating to faith and
dementia. It is hoped that these structured interviews will provide themes and issues
which will inform better knowledge and working links on both sides between the
local Community Mental Health Team (CMHT) and faith groups. I plan to digitally
audio record the interviews and fully transcribe them.
Research question/s:
I currently have not formulated a specific research question. However, my aim is to
gather information with regard to faith and dementia locally, in order to improve
knowledge and links between the CMHT and faith groups in both parties.
Progress on Research input:
As I have not started interviewing people, I have not yet gathered this information.
However, I feel that it is likely that some good work (from both CMHT and faith
groups locally) is being already done. It is possible that some form of information
exchange or training on either side may be of help to both parties.
Progress on intervention:
As outlined above, I am yet to start the interview process. I have some questions for
interview formulated and have contact details for local faith groups. At this point, I
need to complete question formulation, get critical feedback on them and then
commence with interviews. I would like to commence interviews early in April 2014
in order to complete (including the transcribing and coding of them) before the end of
May 2014. This should provide a minimum of 2 months for evaluation of data, the
intervention and final essay writing.
General comments:
7/27/2019 SIP 3 Interim Progress Reports
10/24
I feel very motivated and interested in this study and am really looking forward to
commencing interviews. I am aware that I need to be conscious of time, in order not
to let things slip! My only other concern at present is to ensure I have clear aims and
objectives. In addition to this, I may require some assistance to ensure my interview
questions are robust, non-ambiguous and relevant to the information I want to gather.
7/27/2019 SIP 3 Interim Progress Reports
11/24
6. SIP 3 Interim Progress Proforma
Enquiry-led SIPlone working of AMHPs
Project plan: Please detail a brief project plan here
Complete Participation Information Sheet and Informed Consent form
Inform local research governance department of my intended activity
Audit MH1s Data gathered from MH1s completed from June/Sept 2013
Feb 2014 (dependent on the amount of assessments undertaken looking for
approximately 60). Analysing data that relates to risk incidents/near misses,
timescales in completing assessments, ambulance delays, length of time lone
working and demographic characteristics (gender, experience and the areaeach AMHP is working in).
From information gathered above I will develop my research questionnaire
and disseminate to AMHPs in the HTT, AOT and 2 x CMHTs Total
approximately 12 along with Participation and consent forms via email. The
questionnaire will be a mixture of closed and open questions to gain the best
evidence of AMHPs experiences of lone working. Utilising exact responses to
gain demographic data and a mixture of ordinal and semantic responsestogether with space for personal experiences to be recorded. This will provide
me with information on the safety and risk management/assessment,
systems/processes used by AMHPs in their practice. I intend to allow a
timescale of 3-4 weeks for return of questionnaires.
The gathering and analysis of risk management tools and procedures used
out of county by AMHPs carrying out assessments.
I intend to follow the process of the lone working policy and procedures within
my own workplace to switchboard protocol, to evaluate whether this is being
adhered to and how robust the policy is in relation to the safety and lone
working of AMHPs.
Evaluate all information gathered and begin write up of findings and
implement proposed intervention.
Evaluate implementation and include recommendations into research projectassignment.
7/27/2019 SIP 3 Interim Progress Reports
12/24
Research question/s: Please detail the question/s your research willanswer/has answered here
My research will highlight any problems experienced by AMHPs when lone working
and will provide best practice used to overcome and manage the risk and safety
issues experienced
Progress on Research input: Please detail the extent of your progress inclearly defining the problem/issue and in the design of potential interventionshere
The identified problem of AMHPs lone working is the risk management once a
MHAA is completed and the Doctors leave. The AMHP is left to coordinate
conveyance and risk manage the patient and their family independently.
Potential interventions include:
A change in policy that indicates the care coordinator for the patient
must be in attendance at MHAA, for their patients to provide support
and risk management to patients, their families and AMHPs. This is a
potentially very difficult and lengthy intervention to implement and
ensure adherence.
Ensure reading, understanding and adherence to Lone working policy
and procedures both within the CMHT and Switchboard protocol after
working hours, which would ensure AMHPs had support and advice
available to them whilst lone working to enhance their safety within the
community.
The development of a risk management tool to be used to identify and
manage risk whilst carrying out assessments.
Analysis of evidence may highlight best practice that could be
implemented to all teams via Senior Practitioners.
Progress on intervention: Please detail your plans for the intervention and itsevaluation here
I have no current plans for the intervention until I have gathered all the evidence
which will identify the best course of action and the most suitable intervention.
To date I have:
7/27/2019 SIP 3 Interim Progress Reports
13/24
Made contact with IT and awaiting MH1 information for analysis.
Drafted a Participation Information Sheet and Informed Consent form
Emailed AMHPs from out of county for risk management tools used within
their practice
General comments: Please place any issues or concerns here
Timescale in gathering all evidence required.
Too much information to gather? Have I gone to big/wide? Could I get the
answers I need to decide on the best intervention in a simpler way?
Who do I need to contact regarding Ethics approval? Will the Head of social
work for NHS trust suffice or do I need to contact the research data office forapproval?
7/27/2019 SIP 3 Interim Progress Reports
14/24
7. SIP 3 Interim Progress Proforma
Enquiry-led study - Research Question (s)
The question my research will aim to answer is whether an intervention, during the
facilitation of the Hospital at Night system, during out of hour periods within an acutehospital trust, would be beneficial to increase patient care and safety. The research carried
out would highlight appropriate interventions which would increase the amount of
deteriorating patients seen by the clinical site nurse practitioner. It is clear from carrying out
my psip that the intervention would not be a designable pathway or assessment sheet or a
new way in which the Hospital at Night would be facilitated.
Progress on Research input.
Approached the ethics committee and presented my proposed study and awaiting approval.
Discussed with the audit department to assist with designing the online questionnaire and
have a meeting with them to do this on March 28th
2014.
I have been able to contact members of the clinical database to formulate facts and figures
over a four month period on the following;
Pre Intervention. Research criteria
1. Number of H@N calls that the CST have answered in relation to carrying basic
nursing tasks such as venepuncture, cannulation, ECG recordings, female andmale urinary catheterization.
2. Number of Amber and Red calls that the doctors have seen and compare the
calls to which the CST could have answered if not requested to carryout basic
nursing skills.
3. Number of Amber and Red calls on H@N that the CST has answered and what
were the calls regarding.
4. Number of Adverse Incident Reports relating to delayed patient assessment or
care delivery due to delayed responses from the H@N Doctor / CST.
All the above I have obtained and am currently formulating an analysis of thisdata in excel.
Proposed interventions which are apparent and those discussed with my line
manager include:
1. Removing basic nursing task from H@N which would mean that the
ownership and responsibility falls back on the ward nurses.-
Problem- this would cause patients to have further delays in treatment.
7/27/2019 SIP 3 Interim Progress Reports
15/24
2. The facilitation of H@N will produce a name and shame to which senior
nurses and clinical leaders have to justify why their staff are not being
appropriately trained to care for their patients adequately.
Problem: although this highlights breakdown in training and skill mix on a ward,
the clinical leaders and senior nurses may add further stress upon the wardnurses which is unnecessary.
3. To employ a Health care assistant to be part of the H@N team in which they
are already trained and competent to complete basic invasive nursing tasks.
Problem: obtaining funding might be an issue due to current economic climate
however from carrying out my psip all the research conducted on this topic
highlighted how vital a HCA is to the H@N.
Progress on Intervention;
A trial is currently underway to ascertain the effectiveness of using a H@N HCA
during a period from 17:00 hours to 02:00 hours. I will contact the clinical data
base people to send me data highlighted above, by using the same criteria to
ensure reliability and validity.
I will also gain feedback from the CST to see if they feel that by having a HCA on
the H@N team aids in increasing patients assessments.
General Comments.
I am concerned that I have not heard anything from RBH ethics committee and
will be chasing this on 30th
March 2014.
I am having difficulty in designing the questionnaire but hopefully my meeting
with the audit department will clear thing up.
7/27/2019 SIP 3 Interim Progress Reports
16/24
Month Project Plan
Date December January February March April May June July Review date
01.12.13
Obtain information regarding H@N Data
Pre intervention. 18.02.14
01.03.14 Obtain Ethics Approval from RBH
17.03.14 +
15.04.14
01.12.13
Start Consent Forms and
Info Sheets
Complete Consent forms
and Info Sheets 28.03.14
01.02.14 Design Questionnaires 01.04.14
01.03.14
Dw Audit department Re
questionnaires 20.04.14
01.04.14
Send out and collect
questionnaires from both
teams 01.06.14
21.02.14
send appendix 2 by 25th
March 20.03.14
01.05.14
Obtain information regarding H@N
Data Post Intervention.01.07.14
01.01.14
start converting data into graphs, review data and questionnaire analysis and by May start writing SIP prepare to hand
in 01.07.14
Other considerations
7/27/2019 SIP 3 Interim Progress Reports
17/24
8. SIP 3 Interim Progress Proforma
Enquiry-led SIP
Project plan:
February March April May June July
Contact ResearchGovernance to explain that
I am doing a project whichis non-research based.
DONE
Plan focus Group questions
Get a few designs that arealready in place
Critically Evaluatethemes from focus
group
See if you could havedone anythingelse/different.
Implement
Intervention
Send email to allAMHPs to gain
feedback ofintervention
Reference
Design Consent Form andInformation Form
COMPLETED
FOCUS GROUP TO TAKEPLACE ON 27thMARCH:
Tap recorder
ALL AMHPS have signedconsent form
Plan ready to take in
Other examples areavailable
NR policy
4-6thOFF FORBIRTHDAY!
Conclude andmakerecommendations
7/27/2019 SIP 3 Interim Progress Reports
18/24
Identify Focus Group inMarch or VERY early April-27thMarch 2014
Email the group onceidentified with consentforms etc- Emailed 1stMarch 2014.
20th-21st- STUDY DAYS- MeetPK at Bournemouth Uni Library.
Design Interventionand send to R to belooked through forfeedback.
ThirdPerson toreadthrough
Assignment
Contact H about plans andidentify who can sign off-Met with H and agreedRF will sign off.
Transcribe Focus Group
Must be clear
Summarise what people havesaid
Get third person to read andlisten to summarise
18th-22NDHOLIDAY
Start ESSAY- getplan done andcontents by end ofmonth
Have draft essaycompleted.
Have finaldraftcompletedand handedin by 25thJuly 2014.
Re-Read Literature Review 26-28THWEDDING
28th HANDIN DATE!!!!
Research question/s: From completing my PSIP I have been able to see how other authorities have supported AMHPs when applying to
court to appoint a nearest relative for a patient. This highlighted a variety of interventions currently in place which I am aware my authority donot have. There are a variety of questions that I want to pose to AMHPs within the Focus Group they include:
Introductory Questions:
1. Has anyone looked or used the Appointing a Nearest Relative Policy? If so what did you think of it?
7/27/2019 SIP 3 Interim Progress Reports
19/24
2. If you have identified that a patient had no nearest relative, how confident do you feel with what you need to do next and whosresponsibility it is to follow this process through?
3. If you were asked to identify a nearest relative for a patient that you detained, how would you start this process?4. If you identified that a patient had no nearest relative and had to apply to court how confident would you feel with this process? This
includes: legal obligations and writing a report to the courts to appoint the local authority as NR.5. Why do you think that we do not apply to courts on a regular basis?
Key Questions
1. Now we have identified the above (clear the process is unclear and not supportive to AMHPs), within my PSIP I found a variety ofinterventions/tools which support AMHPs within their role. Which ones do you feel are informative, supportive and clear?
Examples given:
How would you like the information given to you e.g. flowchart or diagram?
2. When I have designed the intervention what are the key facts you would like me to include?
Example:
If a patient has capacity where you should go
BOP Solicitors name/details
What we need to write in a court report?
3. Once I have designed the intervention how would you like me to present it? For example in another AMHP Forum with me providing anexplanation or in an email with notes?
Progress on Research input: From my PSIP I have seen a variety of interventions that support AMHPs and their managers.They includeflowcharts to assist AMHPs with a step by step guide from when they identify a patient has no nearest relative to what they have to write in acourt report. These have been clear and precise and what I am wanting to use as examples in the focus group.
7/27/2019 SIP 3 Interim Progress Reports
20/24
I have also contacted the Research Department within my local authority and they have approved my project.
The AMHP Lead has recently left and he was due to sign my project off. I therefore have met with unit lead and approached my Team Leaderwho is happy to support me within my project.
I have designed my Information and Consent Form.
I have identified when I will be holding my Focus Group however I need to ensure I have the equipment ready.
Progress on intervention: Once I have completed the Focus Group I can start to design the intervention. This should be in April 2014 as thefocus group is planned for the 27thMarch 2014.
General comments: The only difficulty I have seen at present is the fact AMHPs are taking leave as it is the end of the financial
year and also there have been many off sick. I have had 6 confirm that they will be present at the focus group but recognise that this
is the minimum number needed for a focus group. If a limited number attend then I will need to consider doing it on another day.
7/27/2019 SIP 3 Interim Progress Reports
21/24
9. SIP 3 Interim Progress Proforma
Interventionled
Project Plan:
To devise and implement an electronic outreach assessment
proforma that will meet the needs of the outreach service, the
multidisciplinary team and enhance patient care/ safety.
Progress on intervention:
Completed an IT request for change form and this has been
discussed and accepted at their meeting. Recently attended a
IT/ EPR (electronic patient record) meeting where all the future
IT updates and proposals are discussed. Presented my case and
this has been accepted as a priority.
Research questions:
Need to evaluate the implementation of the form to see if it:
highlights the fact that patient has been seen by outreach
to the multidisciplinary team
streamlines assessment documentation
improves time management
enhances patient care
improves multidisciplinary team working
7/27/2019 SIP 3 Interim Progress Reports
22/24
Progress on Research input:
Minimal, as awaiting for IT to implement the form, however,now have the Critical care Consultant keen to have input and
the Resuscitation team so hoping that this will help to put
pressure on the IT team. The observation sheets that we
currently use are also changing and I am hoping that this will
work in my favour as it is planned that the wards will be using
electronic observations from 01/06/2014 and this will hopefully
be linked in with my assessment proforma.
General comments:
Feel as though I am not in control as having to wait for others
to devise IT programme and put this on the system before I can
do any evaluation. Am aware that this may not be completed
by the due date and that is frustrating me. IT have their own
pressures and whilst I understand this I am finding that I am
constantly waiting for others and there is no sense of urgency.
I am sure that there is more that I can be doing behind the
scenes and even completing some parts of the SIP but I am
becoming a little bit fixated on my form. Maybe we could
discuss on 31/03/2014 the aspects that I could complete whilst
I am waiting for the form to be put on our patient record
system so that I do not leave it all to the last few weeks.
7/27/2019 SIP 3 Interim Progress Reports
23/24
10. SIP 3 Interim Progress Proforma
Enquiry-led SIP
Project plan: Please detail a brief project plan here
Research question/s:
Please detail the question/s your research will answer/has answered here.
Due to growing concerns about the impact of substance misuse on psychiatric
hospital admission throughout the UK, few psychiatric hospitals have been subjected
to systemic evaluations in order to reduce admission rates. This is also the case in
the local area where I currently work, despite this effort there is little evidence on how
these evaluations have helped reduce hospital admission and how staff can best be
supported to avoid psychiatric admission for substance misuse patients.
The purpose of this project is to investigate the process and pattern of psychiatric
admission for substance misuse patients and determine why/ how it leads to
increase in hospital admissions, what has been done/ongoing plans to reduce rates
of psychiatric admission.
Progress on Research input, Please detail the extent of your progress inclearly defining the problem / issue and the design of potential interventions
here:
I will focus on and critically analyse a preliminary interview I have already done with a
member of staff as well as PSIP outcomes, which identified several issues in the
process, and patterns of psychiatric hospital admissions of substance misuse
patients. So far my preliminary interview points to the fact that substance misuse is a
general problem that has led to increase psychiatric admission rate. It also raises
common themes which include, defensive practice and risk assessment process,
lack of confidence in decision making, inconsistency in approaches to assessmentsuch as lack of standard assessment forms as well as the potential to over or under
estimate the possible impact of an incident, which can then bias staff decisions about
risk and actions taken to admit.
Progress on intervention:Please detail your plans for the intervention and its
evaluation here:
SIP statement and consent forms nearly concluded, which clearly state the purpose
of the SIP. Organise interview strategy which I have carefully planned in four levels.Level 1- Interview team manager and care coordinator
7/27/2019 SIP 3 Interim Progress Reports
24/24
Level 2- Interview substance misuse worker in teams
Level 3- Interview Psychiatric liaison nurse and duty senior nurse in my local hospital
Level 4- Interview Nurses on the ward.
Although I am still struggling with Trust Ethical approval, I hope this will resolve soon
so that I can start my interviews in Mid-April. I have already spoken to my team
and all other potential interviewees. I will wait for ethics approval before I send out
the consent form and information sheet. I hope to conclude interviews in May.
General comments: Please place any issues or concerns here:
I hope I am on track. I am also managing personal issues at present that impacts on
my ability to coordinate and organise myself. I also hope that ethical approval will begranted soon.
End.