Leading Better Care - Delivering for Patients
Leading Better Care enables Senior Charge Nurses / Midwives and Team Leaders to deliver better care in consistent, measurable, evidence based way
To achieve this vision, the following aims and objectives have been agreed:
LBC Aims
- All Senior Charge Nurses, Senior Charge Midwives and Team Leaders will be working in the context of the LBC components:
- To ensure safe and effective clinical practice
- To enhance the patients experience
- To manage and develop the performance of the team
- To ensure effective contribution to the delivery of the organisations objectives
by March 2013 and able to demonstrate this.
- Nurses & Midwives will be able to demonstrate the contribution they make to the quality and experience of care that patients receive under the three themes by March 2013:
- Safe
- Effective
- Person centred
Evidence
Practice development needs a strong evidence base supporting it. Evidence can come from:
- research
- standards and guidelines
- policies
- professional opinion
- patient views.
Key questions
- What evidence or guidance is available on the subject?
- What is the quality of the evidence?
- What policy, protocols or pathways exist that inform this issue?
- What are the views of practitioners?
- What is the evidence from patients, carers and families locally?
- What new knowledge can be generated from this work?
- What gaps in evidence have been identified?
Consider
- Healthcare Improvement Scotland SIGN guidelines, standards, best practice statements, clinical outcome indicator reports
- Reviews of published literatur
- eAudit reports – local and national
- Observations of care and other activity dat‘rey’ literature – policy documents and other relevant reports; unpublished research findings
- Information from action research
- Information from patients’ experience
- Values of healthcare team
- Patient and carer views and values
- Joanna Briggs Institute (JBI) – access to online tools and resources to support evidence-based practice
Organisational support
- NHS boards should consider supporting evidence by providing:
- Staff access to library and information support
- Clear systems for sharing new evidence based standards.
- Critical appraisal support for research evidence.
- Links between improvement-based activities, local research and development strategies.
- A system for capturing and using patient experience to inform planning.
Professor Rosemary Richardson is a specialist in dietetics and the chair of the Practice Development AHP Network.
In dietetics, practice development approaches have been an effective catalyst for change. Evidence has been central to the change process.
“Practitioners are learning how to use evidence. For example, using patient focus public involvement work in defined areas such as cancer and diabetes , combined with critical reviews of peer review publications and linked to ‘expert’ resources from previous projects”
April 2009
- Scottish Government Health & Community Care
- Department of Health
- National Patient Safety Agency
- SIGN
- NICE
- Royal College of Midwives
- Royal College of Obstetricians and Gynaecologists
- Association of Radical Midwives
- Association for Improvement to Maternity Services
- British Association of Perinatal Medicine
- Royal College of Nurses
- Chartered Society of Physiotherapists
- British Society of Rehabilitation Medicine
- Royal College of Radiologists
- British Assoc /College of Occupational Therapists
- Royal College of Speech and Language Therapists
- Intermid
- British Dietetic Assocation
- Health Protection Scotland
- European Pressure Ulcer Advisory Panel
- Joanna Briggs Institute
