AM SESSION       LEARNING LOG           06/09/24 .

PROVIDING AND MONITORING CARE.      

 

The session started with an introduction of the module, the learning outcomes and we had described collaborative working as working together with the MD,  family including the patient himself.

Partnership is working with other entities with the aim of meeting the same goal of the patient.

 

We had a recap on Patient centred care as treating a person as a whole(holistic care)  not the diagnosis, their preferences, goals and individually.

 

The biopsychosocial model is dealing with the biological, social and psychosocial aspect of an individual.

• For biological, genetics, medication, psychosocial and neurochemical.
• For social, family, peer relationship, culture and socio-economic.
• Psychosocial, emotions and attitudes, learning,  beliefs and stress management.

All the above is focused on the health of the individual.

I learned that in supporting an individual shared decision should be included, that is the patient himself should be involved in his or her care. (as there is ‘no decision about me without me’).

Partnership working deals with 

• communities at the centre of health and social care.
• Care for people’s values and voices.
• Health and social care organisations.
• Valuing and actioning upon experiences and feedback from communities.

The following are some of the principles of partnership working:

• The centre decision making and governance around the voices of people and communities.
• Involve people and communities at every stage and feed back to them about how it has influenced activities and decisions.
• Understand your community’s needs, experiences, ideas and aspirations for health and care, using engagement to find out if change is working.
• Build relationships based on trust, especially with marginalised groups and those affected by health inequalities.
• Work with healthwatch and the voluntary, community and social enterprise sector.
• Have a range of ways for people and communities to take part in health and care services.
• Tackle system priorities and service reconfiguration in partnership with people and communities.
• Learn from what works and build on the assets of all health and care partners – networks, relationships and activity in local relationships and activity in places.

A typical example of partnership working. 

It starts with the patients as they are the centre of all our care, information will be shared about proposed changes, with this people will understand what they mean.

Consulting – as people for their opinion, for one or more ideas or opinions.

Engage – listening to people to understand the issues and discuss ideas for change.

Co – design – designing with people and incorporating their ideas into the final approach.

Co-production- an equal partnership where people lived and learnt experience work together from start to finish.

 

With regards to professional values, these are important to us for self and others. (treat people as you wish to be treated).

There was a group activity that was very fruitful for me and I learnt alot from it. The activity is based on a decision. My own part of the question is “ how will you facilitate shared decision making”. I suggested the following, According to Nice guidelines, 2021. Decision making is a cognitive process resulting in the actions among several possible alternative option.  In facilitating decision making the following were discussed:

• Bring a diverse group together ( the requires organisational leadership and planning as well as practising skills)
• Collect opinions independently ( collaborative relationship between patients and healthcare professionals).
• Provide safe space to speak up( allow the patient to give his or her own  opinion as they are the centre of it all).
• Don’t  over-rely on experts( discuss risk, benefits and consequences of different options in the context of the person’s life and values.
• Share collective responsibility for the outcomes( be aware that different people interpret terms such as ‘risk’ ‘rare’ ‘unusual’ and ‘common’ in different ways).
• Use patient decision aids( patients aids as part of a toolkit to support shared decision making).

 

                                                  

 

                                                              KSBs ADDRESSED.

 

K1: Understand the Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC, 2018), and how to fulfil all registration requirements.

K2: Understand the demands of professional practice and demonstrate how to recognise signs of vulnerability in themselves or their colleagues and the action required to minimise risks to health. 

K3: Understand the professional responsibility to adopt a healthy lifestyle to maintain the level of personal fitness and well-being required to meet people’s needs for mental and physical care.

K4: Understand the principles of research and how research findings are used to inform evidence-based practice. 

K11: Understand the factors that may lead to inequalities in health outcomes.

K12: Understand the importance of early years and childhood experiences and the possible impact on life choices, mental, physical and behavioural health and well-being. 

K13: Understand the contribution of social influences, health literacy, individual circumstances, behaviours and lifestyle choices to mental, physical and behavioural health outcomes. 

K18: Understand and apply the principles and processes for making reasonable adjustments. 

K19: Know how and when to escalate to the appropriate professional for expert help and advice. 

K20: Know how people’s needs for safety, dignity, privacy, comfort and sleep can be met. 

K26: Understand where and how to seek guidance and support from others to ensure that the best interests of those receiving care are upheld. 

K30: Understand the principles of health and safety legislation and regulations and maintain safe work and care environments. 

K31: Understand how inadequate staffing levels impact on the ability to provide safe care and escalate concerns appropriately. 

K32: Understand what constitutes a near miss, a serious adverse event, a critical incident and a major incident. 

K33: Understand when to seek appropriate advice to manage a risk and avoid compromising quality of care and health outcomes. 

K34: Know and understand strategies to develop resilience in self and know how to seek support to help deal with uncertain situations.  

K36: Understand the roles of the different providers of health and care.

K38: Understand the complexities of providing mental, cognitive, behavioural and physical care needs across a wide range of integrated care settings.

K40: Understand own role and contribution when involved in the care of a person who is undergoing discharge or a transition of care between professionals, settings or services.

K41: Know the roles, responsibilities and scope of practice of different members of the nursing and interdisciplinary team, and own role within it. 

K42: Understand and apply the principles of human factors and environmental factors when working in teams. 

K43: Understand the influence of policy and political drivers that impact health and care provision Skills.

 

                                                      SKILLS

 

 

S1: Act in accordance with the Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC, 2018), and fulfil all registration requirements.

S3: Recognise and report any factors that may adversely impact safe and effective care provision. 

S4: Take responsibility for continuous self-reflection, seeking and responding to support and feedback to develop professional knowledge and skills.

S7: Communicate effectively using a range of skills and strategies with colleagues and people at all stages of life and with a range of mental, physical, cognitive and behavioural health challenges. 

S9: Develop, manage and maintain appropriate relationships with people, their families, carers and colleagues.

S43: Contribute to team reflection activities to promote improvements in practice and services 

                                                             BEHAVIOUR  

 

B1: Treat people with dignity, respecting individual’s diversity, beliefs, culture, needs, values, privacy and preferences 

B2: Show respect and empathy for those you work with, have the courage to challenge areas of concern and work to evidence based best practice 

B3: Be adaptable, reliable and consistent, show discretion, resilience and self-awareness