FINAL BOOK OF ABSTRACTS 2019

School of Nursing and Midwifery Scoil an Altranais agus an Chnáimhseachais

recording NEWS compared to the current rate with the paper version (3) through a survey- recording nurse and clinical team feedback on using the digital version versus the paper version. Study Background Study Background When acute hospitals implement the current Clinical Guideline for NEWS they record a number of standard patient measurements on a paper chart. They then calculate a NEWS score for the patient and this score is an indicator of patient deterioration. Depending on the score, a care escalation process is followed by the nurse. This clinical guideline was introduced in order to increase patient safety and to identify at risk patients early in the care pathway. A number of recent studies have demonstrated the power of implementing the digital NEWS system. Training was provided on digital News entry on a selected site and a study was undertaken to compare the paper NEWS scores compared to the digital nurse scores. Two nurses were selected and took 20 randomly selected charts and if a query arouse in a chart, the same chart was checked by both nurses. The clinical Lead for this project was identified. The clinical lead identified the critical team members who would be involved in this project. After an initial meeting with the project team, a HIHI Project Initiation Document was agreed. Ethics approval from Waterford CREC was submitted and approval received in January 2018. X Syncrophi units were installed in the AMAU. IT integration involved. Two lead users were trained on the system. The pilot was conducted over a period of one month. It was agreed that the digital system would not operate between the hours of 9pm and 8am- this is because the nursing and support staff on duty at those times are often agency staff who do not have signing authority and might not have been trained to use the system. In order to ensure continuity of NEWS recordings and to ensure no deviation from standard practice a paper version of the chart was printed daily and included in the patient charts. Entry Criteria: All AMAU Patients that were not pediatric and maternity patients that would usually get a NEWS score were included in the study. Exclusion Criteria : Pregnant Women, Children (those under 18 years of age). Results: 98% of the observations sets had errors from the 124 observations sets from the paper charts. This represents an error rate of 79% overall. Digital set had no errors found. Conclusion: 93% of the nurses involved in the trial reported that they found the KEWS300 digital system to be much better in terms of impact on patient care.7% no change. 71% ease of use was significant enhanced when compared to the use of paper. This survey demonstrated a digital system can increase productivity. Impact on patient care. This measured the compliance for recording News digitally compared to paper. Empowering nurses to deliver safe care is empowering NEWS The results were recorded Methods: Structure of Pilot The pilot was conducted in a site.

Investigation into the use of a digital platform for professional & educational communication for nurses in Injury Units in Ireland

Author(s) Kathryn Reid Clinical Nurse Manager 2 Affiliation(s) Injury Unit, Mallow General Hospital

Abstract Background: To continue to provide evidence-based care to their patients and to maintain registration Nurses must maintain CPD with some current courses awarding CEUs. To access relevant course for Injury Units can be difficult. Aim: To investigate if Nurses in Injury Units, in Ireland, would utilise and see as beneficial, a digital platform to access specific educational content for Injury Unit Nursing. To explore if a digital platform would be beneficial as a method to communicate professionally and finally, to examine potential content of a digital platform. Methods: A focus group (n=5) was held in Dublin, the participants being experienced Nurse Managers. Questionnaires were disseminated to all 11 Injury Units for Nurses to complete

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