Date of Award

2015

Document type

Thesis

Degree Name

Masters theses/dissertations - taught courses

First Supervisor

Siobhan McCarthy

Abstract

Aim: The aim of the project was to introduce an education programme for the nursing profession which would increase adherence to The Nursing and Midwifery Board of Ireland (NMBI) documentation standards. This was to be achieved through the delivery of six unique education sessions, and the introduction of the SOAP (subjective, objective, assesment and plan) Notes Framework for documentation.

Rationale: Following the reviews of three adverse events the key areas of concern included the occurrence of a failure on behalf of the nursing profession to communicate essential information to the greater multidisciplinary team following client interactions. furthermore, the absence of a standardised approach to the formation of the nursing professions clinical entries allowed for misinterpretation of clients mental state and wellbeing.

Change Process: The HSE Change Model was used to guide the change. Monthly education sessions with facilitated over a six-month period. Focus groups and consultation with key stakeholders such as the State Claims Agency assisted the process.

Evaluation: The education programme was evaluated using Kirkpatrick's (1959) evaluation Model. the overall initiative was evaluated using an audit tool based on NMBI documentation standards via pre and post intervention auditing of clinical records.

Results & Conclusion: The results showed a 56% improvement in adherence to NMBI documentation standards following the introduction of the education programme and SOAP Notes Framework. The initiative supports good systems of clinical governance and quality assurance in order to assist in the prevention of similar adverse events and hence ensure positive experiences and outcomes for future service users.

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 4.0 License.

File Size

3.89 MB

Comments

A dissertation submitted in part fulfilment of the degree of MSc in Healthcare Management, Institute of Leadership, Royal College of Surgeons in Ireland, Dublin 2015.

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