Lisburn Locality
District Nursing
Pressure Ulcer
Reporting.
Quality Improvement (QI) Fellow
The Trust recruited their first cohort of Quality Improvement (QI)
Fellows in February 2017.
The Fellowship Programme is a part-time 12 month programme
designed to create the next generation of quality improvement
leaders within the Trust.
Its aim is to build multi-professional, organisational capability for
quality improvement through developing skills and expertise to
drive improvement at an organisational level.
Fionnuala Gallagher, Quality improvement and Governance
Lead for Nursing in Primary Care undertook the programme,
which involved learning modules, in parallel with taking forward
a directorate priority as a QI project.
South Eastern HSC Trust District
Nurses celebrated World STOP
pressure ulcer day with Nursing
Caring Direct (Domiciliary Care
Agency), their committed partners
in pressure ulcer prevention.
Fionnuala's project was to develop and implement a strategy for
pressure ulcer prevention for patients/clients in their own homes
in the Lisburn locality.
Given the complexities of care provision within Primary Care, due to the interdependency of services
and agencies, developing a strategy that would deliver consistently safe, reliable and effective
pressure ulcer prevention for our 'at risk' patients/clients could only be realised through multiprofessional collaboration and partnership working with private domiciliary care providers.
To date, we have:
• Developed a primary care specific SSKIN Bundle which encompasses the fundamental
nursing interventions proven to prevent patients/clients developing pressure damage
• Addressed the issue of variation in relation to evidencing care given
• Addressed the variation in the level of knowledge of pressure ulcer prevention among
domiciliary carers by developing an easily accessible DVD which also tackles poor
practice issues in relation to managing incontinence and addressed issues resulting
in variations in working relationships and communication processes between domiciliary
carers', district nurses, care managers and social workers that broker, develop and monitor
our patient's/client's care packages and individual care plans.
We believe that this project has produced a working model that can be scaled up and sustained Trust
wide.
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