Training for nurses based on "Elle's" journey

Best Practice: A patients journey, an interactive learning experience

Who did it: Vannessa Rolinson, Learning & Development Manager; Deborah Eaglefield & Charlotte Peters, Senior Practice Development Nurses, Burton Hospitals NHS Foundation Trust

It is becoming increasingly difficult to meet the escalating training requirements for nurses. In addition to statutory and mandatory training there is a considerable amount of job specific training needed to ensure nurses have the skills required to deliver safe and effective patient care.

Following consultation with a broad range of nursing staff we decided that we needed to look at an innovative way to deliver key aspects of training. We listened to the difficulties wards and departments experienced in relation to releasing staff to attend training and how training was delivered.

We designed a training day that completely revolves around a patient journey based on current NHS priorities, complaint and critical incident themes received within the trust.

Two films were produced to support the delivery of the day which commences with a letter of complaint from the patient’s sister. This sets the scene for the day as the delegates hear from the service users perspective their experience of the care received.

The second film is of a team meeting where the ward sister is informing the staff of the complaint.

The delegates use a root cause analysis process to explore the points raised within the complaint letter.

A complete set of patient notes are provided on the day.

The day is constructed into key learning areas. Facilitators and local experts use the patient journey to build upon delegates existing knowledge to enable them to debate, reflect and consider different outcomes for the patient. 

The areas include

  • pressure ulcers
  • learning disabilities
  • falls
  • end of life care
  • documentation
  • quality assurance
  • nursing metrics and accountability.

In order for the training to make an impact at the point of care it is essential that delegates can relate the learning to practice. By using the patient journey approach delegates have been able to make the links to their real time activity. This has been confirmed by pre and post learning audits.

The day will continue to evolve and can be adapted to ensure key initiatives are addressed within the content so it will remain current and fit for purpose.

For further information Vannessa Rolinson; Learning & Development Manager, Burton Hospitals NHS Foundation Trust - vannessa.rolinson@burtonft.nhs.uk

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