VOL: 99, ISSUE: 24, PAGE NO: 34
Anthony Harrison, MSc, DipN, RMN, is consultant nurse (liaison psychiatry), Avon and Wiltshire Mental Health Partnership NHS Trust, and Visiting Fellow, the University of the West of England, Bristol
Heather Devey, MSc, BSc, RN, is clinical project manager, Royal United Hospital Bath NHS Trust
- Self-harm and suicidal tendencies;
- Acute confusion;
- Alcohol dependence.
- Identify individuals who have an interest in the issue and are, therefore, more likely to see the work through to its conclusion;
- Involve all levels and grades of staff;
- Encourage honesty and constructive feedback from comparison group members;
- Actively involve patients and carers; their input into the identification of problems, clarifying work priorities and developing action plans allows changes in practice to remain patient focused;
- Support staff throughout the scoring and re-scoring processes while acknowledging that poor practice can be difficult for them;
- Focus on developing solutions to problems, rather than simply restating long-standing difficulties;
- Take time to disseminate and publicise the work and improvements that result.