The Ideal Ward Round Group is a Co-Production group and was formed in August 2014. The membership of the group consists of service users, carers, Involvement team staff, advocacy services, the University of Nottingham, consultants, clinical psychologists, nurses, OTs, consultants, peer support workers and other Nottinghamshire Healthcare Trust staff that have not already been included in these groupings.
In order to understand the current experience of ward rounds/reviews on mental health wards the group developed questionnaires aimed at four groups; carers, inpatients, patients discharged from wards and staff. 97 Questionnaires were completed by the recipients.
Amongst the initial findings from these questionnaires were issues such as raised anxiety and anger in patients, the purpose of ward rounds often being unclear and issues around communication and time keeping. View the full data report.
A list of six topic headings came from these questionnaires which were:
|A list of six topic headings came from these questionnaires which were:|
|The Purpose of Ward Rounds|
|Practical Arrangements in Ward Rounds|
|Management and Ownership of Ward Rounds|
|Involvement and Decision-Making in Ward Rounds|
|Discharge Planning and Recovery Focus in Ward Rounds|
|Improvements that can be made to Ward Rounds|
The findings from the questionnaires formed the structure around the focus groups allowing us to drill down in a more detailed way the information we had already acquired on those aspects of the ward round. Again staff, carers and patients were invited to attend.
The focus groups were promoted across Adult Mental Health Services, Recovery College, the Trust membership, Carers Federation and various carers groups across Nottinghamshire, the Involvement Teams, and networks linked into Open Dialogue and 3rd Sector organisations such as Framework.
The focus groups took place in the spring of 2016 and delivered a wealth of fresh data. This was then analysed through our Ideal Ward Round Group and the report from that data can be viewed here.
The group triangulated the data from the original 97 questionnaires with the data from the focus groups and this allowed us to form the 12 Ideal Ward Round recommendations.
The entirety of the project has been collaboration, and has been approached with constant checking on whether the process is truly co-produced and collaborative.
The project was undertaken as a ‘good thing to look at’ and came out of a service user and volunteers’ meeting. Every decision made on the journey of this project has been collaborative, from whether we should begin the work, designing and developing how we would research current experience; which included running a literature review, designing questionnaires, involvement in going out to people with experience of ward round and capturing their views, the analysis of quantitative data and qualitative data, designing the facilitation of focus groups, co-produced thematic design, the creation and design of an online learning tool and the summarising of all of this work into the Ideal Ward Round guidelines.
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