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Foresight Training for Nurses

Foresight Training for Nurses. Joanna Parker Head of Safer Practice. Aims of the presentation. Background and introduction to foresight training The NPSA’s foresight training programme for nurses Foresight in action: Interactive workshop.

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Foresight Training for Nurses

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  1. Foresight Training for Nurses Joanna Parker Head of Safer Practice

  2. Aims of the presentation • Background and introduction to foresight training • The NPSA’s foresight training programme for nurses • Foresight in action: Interactive workshop

  3. The 3-bucket model forassessing risky situations (Reason, 2005) 3 2 1 CONTEXT TASK SELF

  4. Preventing something bad from happening • The neonatal arterial switch operation study • Risk assessing the task, context and self

  5. Foresight - scoping study of previous work

  6. Examples of foresight training • Non-technical skills training in aviation • Western Mining Corporation. ‘Take time, take charge’ (Hopkins) • Metropolitan police: hazard awareness training • ESSO’s ‘step back by five’ programme • BP’s integrity management training. • Approach to scene training by London Ambulance NHS trust • Situation, Background, Assessment and Recommendation (SBAR) (IHI, 2006)

  7. Learning outcomes

  8. Learning outcomes - continued

  9. FORESIGHT TRAINING FOR NURSES: STAKEHOLDER ENGAGEMENT

  10. Foresight training for nurses • A foresight training resource for NHS nurses in acute, primary care and mental health settings • Engaged stakeholders to shape the development of the training programme in the following ways: • Identifying and developing nursing foresight scenarios in primary care, mental health and acute settings • Identifying where foresight training ‘fits’ with existing nursing education and training

  11. Focus Groups • 23 June, (primary care), 12 July (acute), 20 July, (mental health) • SWOT analysis of foresight training • Storytelling to identify potential scenarios

  12. Focus Groups • 12-19 attendees from a range of jobs • Concept of foresight resonated with participants; three buckets model is a useful conceptual framework • Foundations already in place (i.e. Reflection in Action, good reporting culture) • Confusion about ‘near misses’ – foresight will address this and raise near miss reporting rates

  13. Focus group feedback • Need to engage other professional groups, i.e. Phase 2. • Releasing staff for training and cost involved. • Importance of linking it to other training- not stand alone! • Need an implementation strategy which considers the broader organisational context.

  14. THE TRAINING PROGRAMME

  15. TRAINING SCENARIOS • Unrecognised deterioration / deterioration not acted upon • Blood transfusion • Management of diabetes in the community • Obstetrics scenario • Dual prescription of an anti-psychotic drug • Nurse prescribing scenario in primary care Both video-based and paper-based to ensure flexibility

  16. Four types of scenario • Spot the difference scenarios • Reflection in action • Story-telling • Garden path scenarios

  17. Training materials • Combination of video-based and paper-based • Multi-media to ‘fit’ with local circumstances • Ranging from 20 minutes to 45 minutes • Based on real-life incidents, as sourced from the NPSA’s National Reporting and Learning System and the nursing focus groups • Accompanied by a facilitator’s guide

  18. What are the benefits? • Facilitates learning about patient safety risks from more experienced nurses. • Improves nurses ability to recognise and intervene at the first symptoms of a problem. • Raises awareness of patient safety incidents, and in particular, near misses. • This in turn could lead to improved near miss reporting rates.

  19. Implementation • Foresight training resources will be available at www.npsa.nhs.uk and the RCN’s Learning Zone from June 2007 • An off the shelf, flexible resource • Designed to fit into mandatory training programmes and team handovers • NPSA is working to raise awareness of the training amongst other professional groups

  20. INTERACTIVE WORKSHOP

  21. DETERIORATION INCIDENT • Watch the video • Think about the unfolding scenario • Contextualise in terms of the three buckets model

  22. Media Clip E:\NPSA_SC1_Rough_Cut1.mpg

  23. The 3-bucket model forassessing risky situations (Reason, 2005) 3 2 1 CONTEXT TASK SELF

  24. What’s in the buckets? • Work in small groups • Discuss what was in the self, context and task buckets • Write one factor down on each post it note • 20 minutes to discuss as a group • 15 minutes group feedback

  25. FURTHER INFORMATION CAN BE FOUND AT: www.npsa.nhs.uk 4 – 8 Maple Street, London W1T 5HD

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