Brearley 5 Therapy Project
The Therapy project was set up initally to help the nursing staff on the ward. A physiotherapist and occupational therapist were employed using ward resources to work alongside nursing staff. The idea being that these posts would complement the nursing staff and alleviate some of their pressures. The physiotherapist and occupational therapist were dedicated to the ward to ensure consistent therapy input.
The project did initially struggle for a variety of reasons. A decision was made to adopt a microsystem approach to this meeting as part of the ward collaborative. This coincided with a band 7 therapist joining the ward project with a microsystem coach. Adopting microsystem improvement methodology added rigour to the project including the need to measure.
Positive changes have begun to occur and improvements have been seen in pressure ulcers, falls, and complaints. The data is showing that patient falls have been reduced from 15 per month to 8. This was done by ensuring that patients had the right clothes and equipment to hand on the ward and by introducing safety huddles.
An area for social dining was also set up in the day room on Brearley 5. The therapy team identified appropriate patients, and bought them to and from the day room. They also supervised the dining experience. Patient meals were brought to the area by support staff. Social dining has been evaluated qualitatively and has shown a positive experience for both patients and staff members. Other positive outcomes of the intervention include extra therapy for patients who are encouraged to mobilise to and from the area. There has also been reduced pressure on ward staff as patients are situated in one area. A bid is being put in to look at the possibility of extra ward resources such as adaptive cutlery and table cloths.
The project is continuing well using the microsystem methodology with a weekly meeting on Tuesday at 1400. New themes will include, pressure ulcer training, social dining, therapists completing mental capacity assessments, and more effective ways of working. It is hoped by the above will lead to an overall improved patient experience, reduced length of stay and improvement in staff morale and retention.