Creating a Carer culture in Hunter New Creating a Carer culture in Hunter New England Health: England Health: “Think patient – think Carer”“Think patient – think Carer”

Prepared by: Michelle Goodwyn & Kim Riley

Aged Care and Rehabilitation Services Clinical Network

20112011

Think patient – think CarerThink patient – think Carer

Hunter New EnglandHunter New EnglandLocal Health NetworkLocal Health Network

Think patient – think CarerThink patient – think Carer

Q:Q: What did we want to do? What did we want to do?

A: We wanted to make the identification A: We wanted to make the identification of Carers a routine and integral part of Carers a routine and integral part of the admission process across the of the admission process across the

four northern cluster of HNE. four northern cluster of HNE.

Think patient – think CarerThink patient – think Carer

ANDAND• Appropriate information is given to Carers to Appropriate information is given to Carers to

support them in their caring rolesupport them in their caring role• Carers included in assessment, Carers included in assessment,

care/discharge planning and case care/discharge planning and case management management

• Carer health and wellbeing needs are Carer health and wellbeing needs are identified and metidentified and met

Think patient – think CarerThink patient – think Carer

HowHow‘‘A Carers journey through the A Carers journey through the

hospital setting’ projecthospital setting’ project• Staff surveyStaff survey• Executive sponsorshipExecutive sponsorship• Working party formedWorking party formed• ‘‘Top down’ & ‘Bottom up’ approachTop down’ & ‘Bottom up’ approach

Think patient – think CarerThink patient – think Carer

HOWHOW

Principles of Enablement Nursing Principles of Enablement Nursing strategystrategy

• Project funding – NSW HealthProject funding – NSW Health

• Working party formedWorking party formed

• Resources developedResources developed

• Campaign to raise awarenessCampaign to raise awareness

Think patient – think CarerThink patient – think Carer

The principles of enablement nursing are designed The principles of enablement nursing are designed to raise awareness amongst clinicians of the to raise awareness amongst clinicians of the impacts that hospitalisation can have on older impacts that hospitalisation can have on older people and their carers. people and their carers.

Functional decline and deconditioning across five Functional decline and deconditioning across five domains:domains:

• MobilityMobility• Cognition and emotional healthCognition and emotional health• Nutrition and hydrationNutrition and hydration• Continence managementContinence management• Self careSelf care

Think patient – think CarerThink patient – think Carer

HOWHOWInfiltration – the key to successInfiltration – the key to success• combined the priorities of the Carers Action Plan and the Principles combined the priorities of the Carers Action Plan and the Principles

of Enablement Nursing strategy to raise the profile of the role of of Enablement Nursing strategy to raise the profile of the role of Carers.Carers.

• Identified the opportunity to ‘piggyback’ with other projectsIdentified the opportunity to ‘piggyback’ with other projects– Introduction of the HNE Adult Inpatient Assessment ToolIntroduction of the HNE Adult Inpatient Assessment Tool– Essentials of CareEssentials of Care– Garling ReportGarling Report – Equip ProcessEquip Process

Think patient – think CarerThink patient – think Carer

Key themes in developing the Key themes in developing the combined strategycombined strategy

We knew there was a lack of awareness of: We knew there was a lack of awareness of: – Who is a CarerWho is a Carer– Carer issuesCarer issues– The benefits of Carer inclusion in the acute care settingThe benefits of Carer inclusion in the acute care setting– What constitutes Carer involvementWhat constitutes Carer involvement

Think patient – think CarerThink patient – think Carer

Tools developed to raise the profile of Tools developed to raise the profile of

CarersCarers

• ‘‘Carers journey through the hospital setting’ bookletCarers journey through the hospital setting’ booklet

• Staff factsheets on Carer issuesStaff factsheets on Carer issues

• Staff information lanyardsStaff information lanyards

• ‘‘Carer’ alert stickers for medical recordsCarer’ alert stickers for medical records

• Enablement flip chart Enablement flip chart and and careplan careplan

Think patient – think CarerThink patient – think Carer

Think patient – think CarerThink patient – think Carer

Think patient – think CarerThink patient – think Carer

Think patient – think Carer

Think patient – think CarerThink patient – think Carer

Think patient – think CarerThink patient – think Carer

Outcomes measuresOutcomes measuresProcesses:Processes:• Development of resources and tools – consultative approachDevelopment of resources and tools – consultative approach• Provision of education across the 23 sites in the four northern Provision of education across the 23 sites in the four northern

clustersclusters• Provision of face-to-face Carer education to 32 Carer staff Provision of face-to-face Carer education to 32 Carer staff

representativesrepresentatives• Provision of face-to-face Enablement educationProvision of face-to-face Enablement education• Provision of combined face-to-face education to generalist Provision of combined face-to-face education to generalist

clinicians - ongoing 2010 – 2011clinicians - ongoing 2010 – 2011• Development of on-line education modules to create Development of on-line education modules to create

sustainabilitysustainability

Think patient – think CarerThink patient – think Carer

Outcomes measuresOutcomes measuresProcesses:Processes:

• Staff and manager feedbackStaff and manager feedback• Audit toolsAudit tools• Reporting mechanismReporting mechanismResultsResults• Quantitative file audit results – starting to come inQuantitative file audit results – starting to come in• Informal qualitative data – positive response to tools Informal qualitative data – positive response to tools

and processesand processes

Think patient – think CarerThink patient – think Carer

ChallengesChallenges• Obtaining direct feedback from CarersObtaining direct feedback from Carers

• Staff turnover Staff turnover

• Accessing all staff – shift workAccessing all staff – shift work

• DistanceDistance

• Change wearinessChange weariness

Think patient – think CarerThink patient – think Carer

Other supporting documentsOther supporting documents

• NSW Carer Action PlanNSW Carer Action Plan

• HNE Carer Action PlanHNE Carer Action Plan

• AHMAC Best practice approaches to minimise functional AHMAC Best practice approaches to minimise functional

decline in the older person across the acute, sub-acute decline in the older person across the acute, sub-acute

and residential aged care settings and residential aged care settings

• Hunter New England Enablement ToolkitHunter New England Enablement Toolkit

Further informationFurther information

Michelle Goodwyn - Carer Support Officer, Michelle Goodwyn - Carer Support Officer, Mehi, Tablelands, Peel and McIntyre Mehi, Tablelands, Peel and McIntyre ClustersClusters• 6739 0141 0429 100 4486739 0141 0429 100 448• Michelle.goodwyn@hnehealth.nsw.gov.au

Kim Riley, Area CNC EnablementKim Riley, Area CNC Enablement• 6540 2118 0428 465 9356540 2118 0428 465 935• Kim.riley@hnehealth.nsw.gov.au