must do nutrition project promoting good nutrition in dalriada community hospital · 2017-03-14 ·...
TRANSCRIPT
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MUST DO NUTRITION PROJECTPromoting Good Nutrition inDalriada Community Hospital
Project Lead Nurse Siobhan ShannonJane Leighton Deputy Ward Manager DalriadaMarie McKillop Staff Nurse Dalriada Hospital
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Presentation
• Aims, early assessment and analysis
• Objectives and Methodologies
• Policy influences
• Pictures and examples of exercises/visual aids
• Discussion on what we actually achieved
• Answer any questions
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Motivation for Project
• Feedback and suggestions from patients to thehospital regarding the variety and choice ofpatient meals.
• An application to the Patients First Programme atthe Foundation of Nursing Studies (FONS) tosupport a project to improve Patient Nutrition inthe Hospital.
• Our project team attended 4 workshops at FONSin London and had learnt and been involved withpractice development Methodologies.
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Aim of the Project
• To improve the patients experience and choiceat mealtimes, in Dalriada Community Hospital,with the aim of improving their nutritionalintake to promote recovery
• Facilitated through a Steering group withvarious stakeholders
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Objectives
• To ensure, patients at risk of malnutrition areidentified on admission to hospital
• To provide patients with nutritious choices tomeet their dietary needs and preference.
• To improve Person Centred Care byimplementing a person centred care plan
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Objectives
• Improve staff knowledge and management onnutrition/malnutrition
• Improve patient and carers knowledge andmanagement on nutrition/malnutrition
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Assessment and Analysis
• To determine Values, clarification exercise wascarried out – determine the ward values onnutrition.
• To gather Claims, Concerns, Issues Exercisecarried out – multidisciplinary views of ward staff
• Plan Do Study Act (PDSA) & Small Cycles ofChange
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Assessment and Analysis
• History – Listeria outbreak difficulty with mealchoice at lunch time.
• Dietetic Service Audit in 2013 – findingsuggest 6 out of /15 standards achieved. On-going audit
• Project plan and project management
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• Collect data from local and regional audit– Audits of MUST and care plans for at risk patients
– Benchmark current processes
– If there is improvement measure theimprovement
• Benchmark current care plans for at riskpatients. Evaluate this and compare usingLocal and Regional Guidance
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Figure 1: The Model for Improvement
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Values Clarification Exercise
Values Clarification Exerciseinvolved discussion as well as
creative expression
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Claims, Concerns & Issues Exercise
CLAIMSStaff want to improve
patient experience andtheir knowledge about
nutrion•MUST scores updated
weeklyStaff are all attentiveAdhered to protected
mealtime policy
CONCERNS• “Snacks not available for patients”
• “Lack of variety”• To much salads
• Paper cups• Poor menu choices for variety of
patients• “Provide more meals throughout the
day instead of a shot of cream intoporridge/soup”.
puddings at lunch”ISSUES
• Enforce protected meal times.• Need menu developed• Portion sizes to small especially for
men
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Policy Influence:
• Promoting Good Nutrition - a strategy for good nutritional care foradults in all care settings in Northern Ireland 2011-2016(DHSSPS2013Quality 2020 - a 10-year strategy to protect and improvequality in health and social care in Northern Ireland(DHSSPS 2012)
• Protected Meal Time Policy (NHSCT 2011)• NICE Guidance 2012- Quality Standard for Nutrition Support in
Adults.• Still Hungry to be Heard. AGE UK 2010• Essence of Care Benchmarks for food and drink. DOH 2010,
London.
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• Promoting Good Nutrition• A Strategy for good nutritional care for adults in
all care settings in Northern Ireland• 2011-2016
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• Development of food chart to accuratelyrecord nutrition and hydration
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• Actively participation in Nutrition andHydration week March 2014 and 2015 –
• Nutritional Care Plan Piloted – communityhospital
• On going monthly audit process mapping
– NIPEC Online Electronic tool
– NICE Guidance
– BAPEN
– NI Nutrition Strategies Standards
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Challenges
• Announced temporary closure of Dalriada
• Project stopped
• Staff redeployed
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Good News
• After a judicial review it was announcedDalriada will remain open
• Recommenced project
• Claims Concern and Issues with staff
• Steering group meeting to discuss project
• Implemented changed
• Feedback from Staff
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Achievements
The patients and carers
• Their experience was more person centred dueto:
• Varied menu options choices, individual to theirneeds
• Better experience of mealtimes
• Better nutritional status
• Less likely to go home malnourished
•
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Achievements
The staff
• Better knowledge and understanding ofnutrition and the needs of patients in hospitalas well as the importance of these beingindividualised
• Increased multidisciplinary working facilitatedand promoted staff empowerment
• Increased satisfaction that delivery of care wasoptimal and holistic
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Achievements
The Organizational
• A 100 percent increase in accurate completionof the MUST assessment
• Better nutritional status of person careplanning (a nursing KPI) increased by almost100 percent
• Improved feedback from patient satisfactionsurveys
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Conclusion
• “Organisations have to deal with so manycompeting priorities and may ask – whyshould we prioritise nutrition and hydrationcare?
• The answer is simple. Without food andwater, people will die.
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Any Questions?