Nursing Times Award winners 2020

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Barts Hospital won the category for 'Promoting patient self-management' with their Shared Haemodialysis Care programme.

Their objective was to deliver a cultural change giving haemodialysis patients the opportunity and support to become active partners in their own care across the main and 7 satellite units in the region.

"When we tried to introduce shared care, most of the patients did not know anything about it or show much interest in doing it"

"There was also a lack of staff interest in training patients and little training on how to teach the patients"

"There was a misconception by patients that they will have to dialyse at home"

What we did

  • We allocated teams in the unit to be main trainers and promoters in shared care.
  • We created notice boards specifically for Shared Care in our waiting area to create awareness
  • We adapted the way we trained the patients so that it was similar to Home Haemodialysis, making it easier for them to transfer across if they wanted to
  • We made a Shared Care Leaflet and used it as a starting point for conversation
  • We introduced ‘Patient View’
  • We got new patients to try, encouraging them to do shared care from the start if they were able to

Results

  • Our numbers did increase at the start, however since then we have had a couple transplanted so the numbers do fluctuate
  • The enthusiasm of staff has improved
  • Communication between the shared care team has improved
  • More patients are asking about shared care and are trying to do somethings for themselves
  • We have improved our training plan for the patients
  • We now have more resources we can use to help patients learn

The Nursing Times Awards trophy

A selection of Shared Care leaflets and printed publications