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826 / Development of a Community Nursing Record for Public Health Nursing Departments across Galway, Mayo and Roscommon

IRELAND
Classification of the PSP
Type of Patient Safety Practice Safe
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Documentation
Communication There is no specified text here
Topic of the reported practice
Quality management system
Aim and the benefit of the Patient Safety Practice
 
It was identified that nursing records did not have a consistent, easily traceable care plan encompassing clear assessment and evaluation of the needs of each client followed by a set of plans that were reflective of evidence-based care or Health Service Executive (HSE) protocol/policy. The quality of the community nursing records resulted in a risk to the continuity of patient care and the standard of care provided as well as an increased risk of omissions of care.

The aim of this initiative was the development of a community nursing record which provides a comprehensive holistic assessment of clients in the community and an evidence-based plan of care.
Description of the Patient Safety Practice
 
A working group was established across Counties Galway, Mayo and Roscommon to develop a comprehensive nursing record which was based on a validated nursing model, assessment tools and scales. The record was piloted across the three counties and evaluated with the support of the research section of the Public Health Department in the HSE West. Amendments were made to the record and agreement was reached in its roll out.

A four day programme of education and workshops (Accredited by the Nursing and Midwifery Board of Ireland (An Bord Altranais)) was provided to all nurses in the community across Galway, Mayo and Roscommon in areas of recording clinical practice, nursing models, tools and scales and care planning. A number of other disciplines were involved in the education process; Dietician, Occupational Therapist, Geriatrician, Palliative Care Team.

Following the education programme the new record was rolled out in conjunction with an accompanying resource manual and explanatory memorandum. Members of the working group were on hand to provide practical support for nurses on the grounds who were finding the change to this comprehensive assessment challenging.
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
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Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, fully
Level of implementation of reported practice
Regional or national level
Specific and measurable outcome for the reported practice were defined
Yes
A baseline measurement before implementation of the reported practice was obtained
Yes
A measurement after full implementation of the reported practice was obtained
Yes
Evaluation of a "positive" effect of the reported practice on Patient Safety
The evaluation showed improvements in Patient Safety outcomes
Type of before-and after evaluation
Both/mixed (qualitative and quantitative)
Enclosure of a reference or attachment in case of published evaluation's results
There is no specified text here
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Health care context where the Patient Safety Practices was implemented
 
Primary care
Transferability
 
Successful implementation of this Patient Safety Practice in other health care settings than above stated
Yes
Specification of implementation in another health care setting(s)
Primary care
Successful implementation's level  of this Patient Safety Practice across settings
Yes, across multiple specialities within the same setting
Involved health care staff
 
Physicians
Nurses
Therapists
Dieticians/ Nutritionists
Clinical support
Technical support / technician
Administrative support (secretary, clerk, receptionist etc.)
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
Yes
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
Patient(s)
Relative(s)
Point of time in which service user or their reprasentatives' involvement takes place
During implementation of the Patient Safety Practices
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
Yes
Short description of the service users' level of involvement
Collaboration, such as co-designing a Patient Safety Practice or active partnership in implementation
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
No
List of sources where public information is accessible
There is no specified text here
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
Yes
Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc.
Yes
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
Other
List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
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Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
No
Description of used incentives, if any.
There is no specified text here
Existence of support or approval by the clinical or hospital management or any other hihg level authority in the implementation process of this Patient Safety Practice
Yes
Costs of the Patient Safety Practices
 
Completion of cost calculation related to this Patient Safety Practice
No
Total number of person days required to implement this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice
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Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
There is no specified text here
Contact information
 
Name: Jan Flanagan
Country: IRELAND
Organisation: Health Service Executive West
E-mail: Jan.Flanagan@hse.ie
Phone: 00 353 90 66 37588
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