Develop a teaching programme for ward staff at #UltimateULHT on understanding the meaning of non/weight–bearing.

Aims and objectives:

 To provide an education programme for ward based staff at United Lincolnshire hospitals NHS Trust around weight- bearing status and the issues and dangers of poor adherence.

 Each workshop has four clinically relevant aims.

Measures:

 Participants provided with a pre and post workshop questionnaire.

 An understanding of what general knowledge people had about weight- bearing status pre- workshop is gathered.

 Reduction in members of staff expressing concerns about having never been taught about the meaning of weight bearing status.

What I have done:

 I first piloted my workshop and the questionnaires in a Physiotherapy Assistant Training Programme, this allowed me to tailor the questions appropriately and ensure information delivered was clear and concise.

 I then ran four training sessions for the staff on the ward.

 I made a notice board on Shuttleworth Ward so that information is readily available - especially to those who could not attend teaching due to working night shifts etc.

 I have also made the weight-bearing status alert stars to go on patient back of bed boards so that patients who are not fully weight-bearing can be easily identified. This is to help keep our patients and staff safe.

Tools used:

 Benefits Realisation Plan.

 SMART goal setting.

 PDSA cycle.

 5 Whys.

Results:

 Pre- workshop only 28% of participants felt they had a lot of confidence mobilising patients with an altered weight-bearing status, this is compared to 78% post attendance.

 17% of participants felt they had had a lot of training around mobilising patients with an altered weight-bearing status pre-workshop, compared with 67% post workshop.

 33% of participants felt they had a lot of understanding around the risks of adhering to weight–bearing status pre-workshop, compared to 94% post workshop.

Next steps:

 My intention is that these sessions will be held again in the future to ensure that new orthopaedic teams member have the opportunity to attend training.

 The sessions proved so popular that the Senior OT and I plan to put on a rolling programme of training sessions on topics identified by the ward staff.

Elizabeth Elliott, Physiotherapist

  • Acute
  • Acute > Clinical Support
  • Acute > Clinical Support > UltimateULHT
  • Acute > Training
  • Leadership and Management
  • Leadership and Management > Quality and Performance
  • Leadership and Management > Quality and Performance > QI
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