PRIMARY NURSING COMMISSIONED SHARING SESSION Steering Group for Primary Nursing Development HAHO 20 & 21 September 2004 2:30 PM Steering Group for Primary Nursing Development, HAHO Sep 2004 Primary Nursing Commissioned Sharing Session Objectives : ¾ Understand the Primary Nursing pilot project conducted in HA hospitals ¾ Future development of Primary Nursing in HA hospitals; Steering Group for Primary Nursing Development, HAHO Sep 2004 Primary Nursing Commissioned Sharing Session Program Rundown : 2:30 pm Welcome Address Dr. Susie LUM 2:35 pm Sharing on the Evaluation of the Primary Nursing pilot conducted in HA hospitals Members of the Steering Group for Primary Nursing Development 3:30 pm Tea Braek 3:45 pm Post hospital visit sharing – staff concern Key to implementation Future development in HK Dr. Marie MANTHEY 4:45 pm The way forward Dr. Eric CHAN 5:15 pm Q&A Steering Group for Primary Nursing Development, HAHO Sep 2004 Primary Nursing Commissioned Sharing Session Hospital visit - Staff Concerns ¾ Care Plan ¾ Short length of stay / overflow of patients to other wards / turnover of patients ¾ Challenges in case assignment & scheduling ¾ Continuity of care ¾ Interdisciplinary team communication ¾ Dependence of therapeutic relationship Steering Group for Primary Nursing Development, HAHO Sep 2004 Primary Nursing Commissioned Sharing Session Hospital visit - Staff Concerns ¾ ¾ ¾ ¾ ¾ ¾ Staff competence Clear role delineation Co-worker relationship Changed role of supervisor Workload on indirect care Resources Steering Group for Primary Nursing Development, HAHO Sep 2004 Primary Nursing Commissioned Workshop Keys to Implementation: ¾ ¾ ¾ ¾ ¾ ¾ ¾ Leadership development Decentralized decision making Responsibility Authority Accountability Manage change Communication Steering Group for Primary Nursing Development, HAHO Sep 2004 Primary Nursing Commissioned Workshop Keys to Implementation : ¾ Culture of professional practice ¾ Culture within hospital - support ¾ Identify pilot unit with multi-specialty – interest, readiness, stability, leadership ¾ Different aspect of Primary Nursing e.g. Assignment ¾ Develop staff – critical thinking / decision skill / problem solve / clinical competency Steering Group for Primary Nursing Development, HAHO Sep 2004 Primary Nursing Commissioned Sharing Session Commitment to my Coworkers Compiled by Dr. Marie Manthey As your co-worker with a shared goal of providing excellent nursing care to our patients, I commit to the following: Steering Group for Primary Nursing Development, HAHO Sep 2004 Primary Nursing Commissioned Sharing Session Commitment to my Coworkers 1. I will accept responsibility for establishing & maintaining healthy interpersonal relationship with you and every member of this staff. I will talk to you promptly if I am having a problem with you. The only time I will discuss it with another person is when I need advice or help in deciding how to communicate with you appropriately. Steering Group for Primary Nursing Development, HAHO Sep 2004 Primary Nursing Commissioned Sharing Session Commitment to my Coworkers 2. I will establish & maintain a relationship of functional trust with you and every member of this staff. My relationships with each of you will be equally respectful, regardless of job titles or levels of educational preparation. Steering Group for Primary Nursing Development, HAHO Sep 2004 Primary Nursing Commissioned Sharing Session Commitment to my Coworkers 3. I will NOT engage in the “3B’s (bickering, back-biting and blaming) and will ask you not to as well. Steering Group for Primary Nursing Development, HAHO Sep 2004 Primary Nursing Commissioned Sharing Session Commitment to my Coworkers 4. I will NOT complain about another team member; and ask you not to as well. If I hear you doing so I will ask you to talk to that person. Steering Group for Primary Nursing Development, HAHO Sep 2004 Primary Nursing Commissioned Sharing Session Commitment to my Coworkers 5. I will accept you as you are today, forgiving past problems and ask you to do the same with me. Steering Group for Primary Nursing Development, HAHO Sep 2004 Primary Nursing Commissioned Sharing Session Commitment to my Coworkers 6. I will be committed to finding solutions to problems, rather than complaining about them or blaming someone for them, and ask you to do the same. Steering Group for Primary Nursing Development, HAHO Sep 2004 Primary Nursing Commissioned Sharing Session Commitment to my Coworkers 7. I will affirm your contribution to quality patient care. Steering Group for Primary Nursing Development, HAHO Sep 2004 Primary Nursing Commissioned Sharing Session Commitment to my Coworkers 8. I will remember that neither of us is perfect, and that human errors are opportunities, not for shame or guilt but for forgiveness and growth. Steering Group for Primary Nursing Development, HAHO Sep 2004 Steering Group for Primary Nursing Development, HAHO Sep 2004