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1. SIP (Service Improvement Project) 3 Interim Progress Proforma
Intervention-led SIP
Please detail a brief project plan here
To create an instruction / guidance folder for systems within an out of hours
Emergency Duty Team.
Email team members to inform them of project and to request feedback of
any areas with which they are having difficulties so these can be included in
the instruction folder.
I will write up and produce laminated instruction sheets which will act as
guides for staff to assist with their performance of duties within a busy out of
hours social services team.
In order to keep this project manageable and small I will begin by introducing
approx. 10 sheets for various systems. The project will be Intervention Led as the need has already been identified.
The email to staff will assist with the creation of the instruction folder.
Once in place I will give staff one month to trial the folders
The evaluation will take place via focus group to discuss how useful the
intervention has been and to identify future needs for expanding the folder.
Please detail the extent of your progress here
I have emailed staff to advise re plan for Instruction Folder and request any
further feedback.
I am working with management re implementation of intervention
I am in process of designing instruction sheets
Research question/s: Please detail the question/s your research will answer here
Has the provision of an Instructions Folder improved confidence levels of staff
in the performance of their role within an Emergency Duty Team?
Has the Instructions Folder improved consistency of practice within the team?
Progress on Research input: Please detail your progress in evaluating the intervention here
I have received a positive response to my email advising colleagues of my
planned intervention
Staff are in agreement re need for an Instructions Folder and have offered
ideas for input to the folder.
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General comments: Please place any issues or concerns here
The Team are going through a difficult time at present with many staff
changes, no permanent Team Manager and current staff under muchpressure covering extra shifts and working overtime.
Due to working three times my usual hours I have less time to devote to
study than anticipated so have fallen behind.
I had hoped to trial intervention with new and old staff however new staff will
not be in place till mid to end of April.
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2. SIP 3 Interim Progress proforma
Enquiry-led SIP
Project plan:
March: prepare for and seek permission from County Council and NHS Trust for
completion of focus groups and semi-structured interviews. Have completed:
Focus group structure
Semi-structured interview questions
Information forms
Consent forms.
I have discussed the focus groups in our team meeting. I have also emailed the team,
requesting they keep a provisional date free. Unfortunately this is not until the 1st
May, as I will not have approval from the County prior to the Easter school holidays,
when lots of staff members will be off. However, I am aiming to complete the
interviews during this period.
April:
Distribute information sheets and obtain consent from all participants.
Complete Semi-structured interviews.
May:
Complete focus groups on the 1/05/14.
Complete thematic analysis.
Take steps towards addressing identified problem.
June:
Steps to address problem to have been implemented by 6/06/14.
Write up to begin.
July:
Simple evaluation of change to process to be completed via email by 5/07/14.
Write up to be completed and hand in by 28/07/14.
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Research question/s:
What are the challenges and/or difficulties you have when following these
procedures?
What do you think would improve this for you?
Progress on Research input: As above. Disappointing that I am not able to complete
the focus groups earlier, but this is due to school holidays followed by my own
annual leave, which is taking up a significant chunk of April.
Progress on intervention: N/A as focus groups/interviews have not been completed
yet, cannot expand any more than plan above.
General comments: Still hoping that Im on track! Due to the school holidays being in
April, I think May will be fairly busy. But I still feel that in keeping the project small
and focused, I will be able to implement the change and evaluate within the above
time frame.
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3. SIP 3 interim Progress Proforma
Enquiry-led SIP
Project plan:The aim of the service improvement project is to improve the rate of
compliance with the MCA amongst care coordinators.
Research question/s:Section 2 of the PSIP attempts to define a question which will be
directly related to the project aim. I settled on the following question; How closely do mental
health workers in an Older Adult Community Mental Health Team comply with the Mental
Capacity Act?. Feedback from my tutors included the fact that the questions should focus on
the key issues (or factors) involved in practitioners achieving close compliance with the
MCA. This above question provides a close alignment with my focus group. That is, the
questions presented to my colleagues will be more concerned with the factors they feel aid or
inhibit their compliance with the MCA. This reflection has focused my thinking on what
questions I might present to my colleagues in order to better understand what intervention
might improve their compliance with the MCA.
Progress on Research input:Consent form, focus group interview guide and information
sheet are all completed. The pilot group was held on 21/03/2014 and provided some very
helpful learning points to consider when planning and facilitating my focus group.
Housekeeping: Remembering to ask the participants to switch their phones off and ensure that
they are not obstructing any cars in our car park (an ongoing problem on our site).
Ethics of the participation of workers with line management relationships: Prospectiveparticipants feel that there would be a more candid exchange if their line managers were not
present. The initial idea was for all care coordinators (including the lead social worker and
lead occupational therapist) to be invited to participate. I will now negotiate the removal of
these colleagues from the list of participants invited.
Language: Dont use jargonistic language during the focus group; use language which is
accessible to all.
Sound quality: All participants could be clearly heard on the digital recording from a one and
a half meter range. My humming in agreement with the statements of the participants seemed
to interfere with the clarity of the sound. This would be an issue if I attempted to transcribe.
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Progress on intervention: From preliminary indications from colleagues and my initial
findings from my pilot group, I have begun to think about what form my intervention would
take.
General comments:PlanFull Focus group to be held on 4thApril 2014, 10:00h.
Intervention to be designed by mid April and implemented throughout May. Evaluation will
be carried on in mid-June, with the majority of the analysis completed by then.
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4. SIP 3 Interim Progress Proforma
Intervention-led SIP
Project plan:
My SIP is intervention led because it is concerned with change management which is
a well recognized and theorized discipline. My SIP focuses on transition, which is the
term used to describe the process by which people adapt emotionally to new
situations. I am applying this knowledge to my particular service change
circumstance. I will be using an established change management tool, the Personal
Transition Curve (PTC), to capture a snapshot of how my staff are feeling about the
work place changes they are experiencing. The PTC self-assessments will then
inform a response strategy which will also constitute my SIP intervention. After 3
months of exposure to this intervention staff will be asked to complete a repeat
evaluation of their feelings about change and a comparison will be made with theoriginal assessment results. This will enable me to assess the progress of staff
towards adoption of the new service structures and to draw conclusions regarding
the impact of my intervention.
Progress on intervention:
Following BU ethics approval; project information sheets, participant consent forms
and the initial personal transition curve response sheets were distributed in
November 2013. 19 curves were sent out and 16 were returned. The responses were
mapped on to the companion curve in the NHS Change Management Navigating
Change toolkit. The majority of the responses (9) fell in the third quadrant of the
companion curve which indicates that regular and reliable information about what is
happening during the change is required to enable the team to process and
internalize th
