‘Bikes for Dialysis’: A service improvement project introducing intradialytic exercise to a satellite haemodialysis unit

Physiotherapy ◽  
2021 ◽  
Vol 113 ◽  
pp. e51
Author(s):  
S. Gilbert ◽  
C. Matthews ◽  
D.V. Reddy
Keyword(s):  
Service Improvement ◽  
Improvement Project ◽  
Intradialytic Exercise

scholarly journals A service improvement project exploring the extent of need for allied health care professionals within neuro-oncology in Velindre Cancer Centre.

2019 ◽  
Vol 21 (Supplement_4) ◽  
pp. iv9-iv9
Author(s):  
Rachel Evans ◽  
Hayley Williams ◽  
Lisa Love-Gould ◽  
Owen Tilsley ◽  
James Powell ◽  
...  
Keyword(s):  
Patient Education ◽  
Health Care Professionals ◽  
Service Improvement ◽  
Language Therapy ◽  
Support Worker ◽  
Improvement Project ◽  
Cancer Centre ◽  
Future Care ◽  
Limited Opportunity ◽  
Research And Education

Abstract Given the highly complex and holistic needs of neuro-oncology patients, gold standard guidelines recommend that support is best served by a coordinated multi-disciplinary team (MDT) to provide seamless care from diagnosis to end of life (NICE 2018). Allied Healthcare Professionals (AHPs) including occupational therapy (OT), physiotherapy (PT), speech and language therapy (SLT) and dietitians (DT) are recognised as key professions within the MDT. As there is no designated AHP team at Velindre Cancer Centre, input can be reactive and fragmented with limited opportunity for patient education or service developments. The aim of the project was to scope and evaluate the level of AHP need the neuro-oncology population attending Velindre Cancer Centre. A service improvement grant funded a Band 4 Therapies support worker to conduct the project. The project involved a number of elements including the implementation of a revised neuro-oncology screening tool, strategic effort to improve patient education and self-management and engaging patients and staff to guide future service developments. The mixed methods approach yielded rich quantitative and qualitative data. The results demonstrated that whilst AHP input was beneficial to patient care, significant unmet needs were highlighted and demands for services exceeded the teams’ capacity. Therefore a designated neuro-oncology therapies team should be a central consideration for future care to enable timely, responsive, equitable and seamless MDT working. Greater AHP resource would also enable greater AHP involvement in research and education to revolutionise care in order to fully meet the needs of this vulnerable and complex patient group.

An investigation of the knowledge of intimate partner violence among clinical staff working with male substance misusers

2019 ◽  
Vol 12 (3) ◽  
pp. 105-116
Author(s):  
M. Aurora Falcone ◽  
Tim Meynen
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Intimate Partner ◽  
Clinical Staff ◽  
Service Improvement ◽  
Improvement Project ◽  
Senior Staff ◽  
Content Type ◽  
Knowledge And Skills ◽  
Drug And Alcohol

Purpose The purpose of this paper is to describe a Service Improvement Project aimed at assessing the level of knowledge of intimate partner violence (IPV) of clinical staff working in Community Drug and Alcohol Services (CDAS) in four boroughs of South London. Design/methodology/approach Clinical staff (n=90) completed a survey which was based on the Capability Framework (Hughes et al., 2015), developed to describe the key capabilities required to work with men who misuse drug and alcohol and perpetrate IPV. Two separate surveys were prepared for clinical (core) staff (n=76) and for manager (senior) staff (n=14). Findings The Capability Framework provided a useful structure for identifying key strengths and gaps in knowledge and skills related to substance use and IPV treatment in frontline CDAS staff. Significant strengths which emerged in the “core staff” survey related to the importance of assessing IPV and being empathic. Gaps related to the confidence in working with these issues and receiving support. Significant strengths which emerged in the “senior staff” survey related to the availability of supervision, information and training on IPV. Gaps related to using the Capability Framework and discussing IPV in supervision. Originality/value Findings have important implications for the development of training addressing gaps in current knowledge and skills required when working with IPV in the context of drug and alcohol misuse.

User preference for HIV self-testing or self-sampling within a free online sexual health service: a service evaluation

2019 ◽  
Vol 30 (12) ◽  
pp. 1239-1242
Author(s):  
Paula Baraitser ◽  
Adam Black ◽  
Stuart Amos-Gibbs ◽  
Gillian Holdsworth ◽  
Elena Ardines ◽  
...  
Keyword(s):  
Health Service ◽  
Sexual Health ◽  
Hiv Testing ◽  
Service Evaluation ◽  
User Preference ◽  
Service Improvement ◽  
Improvement Project ◽  
Advantages And Disadvantages ◽  
Self Testing ◽  
Sexual Health Service

The objective of this study was to evaluate a service improvement project offering HIV testing through either self-testing or self-sampling in an online sexual health service by measuring type of test chosen and the reason for this choice. We created a web-page offering choice of online self-sampling or self-testing with information on the advantages and disadvantages of both methods. Anyone aged over 18 years resident in England, Scotland or Wales could order either type of test. We describe the characteristics of users, the tests chosen and the reasons for the choice. A total of 1502 HIV testing orders were placed and 1466 (97.6%) testing kits were dispatched after exclusion of multiple orders by the same user. Sixty-seven per cent of users chose self-testing (n = 984) and the rest chose self-sampling (n = 482, 32.9%). The most frequent reasons for choosing self-testing were: immediate results (n = 264, 46.9%), ability to complete the test themselves (n = 168, 29.8%), less blood required (n = 67, 11.9%) and the privacy of testing at home (n = 55, 9.8%). Public sector provision of self-testing as an adjunct to clinic-based HIV testing services is likely to be highly acceptable to UK populations. However, a proportion will prefer self-sampling, and maintaining choice of testing modality is important.

G184 Don't forget your lines - A service improvement project

2014 ◽  
Vol 99 (Suppl 1) ◽  
pp. A80-A81
Author(s):  
F. Howsam ◽  
C. Bevan ◽  
R. Ellis ◽  
A. Green ◽  
K. Solan ◽  
...  
Keyword(s):  
Service Improvement ◽  
Improvement Project

scholarly journals Development of a System Dynamics Computer Model for the Simulation of the Effects of an Alternate Water Source Development Project on the Water Supply Systems Management and Customer Satisfaction

10.29007/3s3f ◽  
2018 ◽  
Author(s):  
Suwan Park ◽  
Jae-Hong Ha
Keyword(s):  
Customer Satisfaction ◽  
Water Supply ◽  
System Dynamics ◽  
Water Source ◽  
Development Project ◽  
Service Improvement ◽  
Water Supply Systems ◽  
Computer Simulation Model ◽  
Improvement Project ◽  
Satisfaction Index

In this paper, a System Dynamics (SD) computer simulation model was developed to assess the effects of developing and providing an alternate water source on the management of a water supply system and customer satisfaction. A water supply service satisfaction index was also developed to estimate the level of overall customer satisfaction on water supply service. Data from the Busan water supply authority and the Korea Development Institute regarding the Nakdong riverbank filtration development were utilized for the construction of the model. Major managerial indicators of the system under study were analyzed by the simulations of the model that incorporates the development of the alternate water source for Busan. The developed SD model and the water service index may be further utilized as a tool that can assess the extent and timing of an additional service improvement project.

scholarly journals Improving recruitment process for nurses, professions supplementary to medicine and paramedical staff

2020 ◽  
Vol 3 (2) ◽  
pp. 94-98
Author(s):  
Pamila Sadeeka Adikari ◽  
Dileep De Silva ◽  
Sunil De Alwis ◽  
KYPK Weerasekara ◽  
Parmelalagapillai Karthikeyan ◽  
...  
Keyword(s):  
Qualitative Methods ◽  
Human Resources For Health ◽  
Stakeholder Participation ◽  
Service Improvement ◽  
Application Process ◽  
Recruitment Process ◽  
Improvement Project ◽  
Computer Based ◽  
Online Recruitment ◽  
Recruitment System

The recruitment process of nurses, professions supplementary to medicine and paramedical staffs had been a lengthy and labourers work for the Ministry of Health and Indigenous Medical Services (MoHIMS) of Sri Lanka. The process affected the regular recruitment of mentioned staff categories. Flaws in this system contributed negatively to the country's shortage of human resources for health (HRH) as well as efforts to improve the healthcare service delivery. The aim of the study was to identify the gaps in the traditional paper-based recruitment system of the MoHIMS and to design a suitable intervention to improve the process and to assess the improvements brought about by the intervention. A service improvement project with full participation of stakeholders was planned by the Human Resource Coordination Division (HRCoD) of the MoHIMS. Qualitative methods were used to identify the gaps in the existing recruitment system and to gather the ideas for improvement. A computer based online recruitment system was implemented with the collaboration of the Department of Computer Science Engineering, Faculty of Engineering, University of Moratuwa. The perceived satisfaction of the stakeholders was reassessed by qualitative methods. Long lag between advertising and recruitment for training was revealed. Deficiencies such as, lack of transparency, negatively affected routine office processes, inability to validate examination results during application process and frustrated applicants leaving the training programs due to lengthy selection processes were also among the main gaps identified. The implemented online recruitment system was recognised by the stakeholders for its improved timeliness, transparency and minimal interference to the routine office functions. Service improvement projects to be successful, should be implemented with full stakeholder participation. Computer based online recruitment systems can be successfully implemented in public sector recruitments to improve the efficiency and transparency

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