Acute wards: problems and solutions

2002 ◽  
Vol 26 (10) ◽  
pp. 385-388 ◽  
Author(s):  
Sarah Davenport
Keyword(s):  
Patient Care ◽  
Care Planning ◽  
Case Formulation ◽  
Self Reflection ◽  
Individual Care ◽  
Problems And Solutions ◽  
Multi Disciplinary Team ◽  
Acute Wards

This paper describes rehabilitation principles and some specialised practice that could usefully inform the provision of acute in-patient care. A low secure rehabilitation setting is described using a method of case formulation to embed an envelope of care around an individual patient within a therapeutic ward milieu. This increases the collaboration and transparency around individual care planning and the capacity for self-reflection within the multi-disciplinary team, in a manner that may be applicable to other in-patient settings.

scholarly journals Acute wards: problems and solutions

2002 ◽  
Vol 26 (11) ◽  
pp. 428-430 ◽  
Author(s):  
Hugh Griffiths
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Patient Care ◽  
Best Practice ◽  
Collaborative Approach ◽  
Problems And Solutions ◽  
New Challenges ◽  
Measurable Change ◽  
Acute Wards

This paper will outline some of the long-standing problems and new challenges facing acute in-patient care, some of the recommendations for change and various difficulties encountered in trying to improve the situation. It will describe how a collaborative approach (led by the Northern Centre for Mental Health, the Centre for Best Practice in Leicester and both the Northern and Yorkshire and the Trent regional offices) can bring about tangible and measurable change for the better and what lessons there may be for the management and delivery of mental health care in the future.

261 Using Technology to Improve Inpatient Surgical Lists

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
A Gowda ◽  
Z Chia ◽  
T Fonseka ◽  
K Smith ◽  
S Williams
Keyword(s):  
Quality Improvement ◽  
Patient Care ◽  
Junior Doctors ◽  
Research Projects ◽  
Point Scale ◽  
Improvement Project ◽  
Surgical Department ◽  
Team Meetings ◽  
And Training ◽  
Multi Disciplinary Team

Abstract Introduction Every day in our surgical department; prior to our quality improvement project, Junior Doctors spent on average 3.26 clinical hours maintaining 5 surgical inpatient lists of different specialities with accessibility of lists rated as “neutral” based on a 5-point scale from difficult to easy. Our hospital previously had lists stored locally on designated computers causing recurrent difficulties in accessing and editing these lists. Method We used surveys sent to clinicians to collect data. Cycle 1: Surgical Assessment Units list on Microsoft Teams Cycle 2: Addition of surgical specialities and wards lists onto Microsoft Teams. Cycle 3 (current): expand the use of Microsoft Teams to other specialities. Results Utilising technology led to a 25% reduction in time spent on maintaining inpatient lists, to 2.46 hours a day, and an improvement in the accessibility of lists to “easy”. Across a year, this saves over 220 hours clinician hours which can be used towards patient care and training. Furthermore, use of Microsoft Teams has improved communication and patient care, in the form of virtual regional Multi-Disciplinary Team meetings and research projects. Conclusions Microsoft Teams is currently free to all NHS organisations in England so there is potential for these efficiency savings to be replicated nationwide.

scholarly journals Acute wards: problems and solutions: Alternatives to acute wards: users' perspectives

2002 ◽  
Vol 26 (9) ◽  
pp. 346-347 ◽  
Author(s):  
Peter Relton ◽  
Phil Thomas
Keyword(s):  
Mental Health ◽  
Civil Rights ◽  
Mental Health Professionals ◽  
Government Policy ◽  
Evidence Base ◽  
Department Of Health ◽  
National Service Framework ◽  
Problems And Solutions ◽  
Restrictive Environment ◽  
Acute Wards

The move from institutional to community care in the second half of the twentieth century arose in a climate in which civil rights became increasingly prominent, and out of which the modern survivor movement grew (Campbell, 1996). Government policy for mental health services, as set out in Standard Five of the National Service Framework (NSF; Department of Health, 1999), requires that care should be provided in hospital, or an alternative in the least restrictive environment, and as close to home as possible. At the same time, Government policy also attaches increasing importance to the involvement of service users and carers in the planning, delivery and evaluation of services. This paper examines alternatives to hospital care from a user perspective. The problem is that the evidence base for the NSF largely consists of quantitative studies designed to answer questions of concern to mental health professionals. This tells us little about the perspectives of the service user, which is the strength and value of user-led research (Faulkner & Thomas, 2002). Much of what follows is taken from this area, but in addition we describe briefly our own experience of home treatment, which the NSF sets out as one of the main alternatives to in-patient care.

scholarly journals Patient Care Planning Strategies

1982 ◽  
Vol 13 (4) ◽  
pp. 23???26 ◽  
Author(s):  
Billie Ann Case ◽  
D. Susan Rooney
Keyword(s):  
Patient Care ◽  
Care Planning ◽  
Patient Care Planning ◽  
Planning Strategies

Preoperative Assessment and Intraoperative Care Planning

2006 ◽  
Vol 16 (4) ◽  
pp. 187-194 ◽  
Author(s):  
Ciarán Hurley ◽  
Janet McAleavy
Keyword(s):  
Patient Care ◽  
Preoperative Assessment ◽  
Surgical Patients ◽  
Care Planning ◽  
Nursing Process ◽  
Nursing Assessment ◽  
Intraoperative Care ◽  
Assessment Strategy ◽  
Research Interviews

We interviewed ten theatre nurses about their contribution to patient care. Their assessment strategy usually involved meeting patients on arrival in the department and did not include accessing the Trust's preoperative assessment document. In this paper we discuss the nursing assessment of surgical patients in the context of the nursing process as it was described in our research interviews.

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