Embed Size (px)
Citation preview
The MORE LIFE Project ndash More Life in everyday life for weak old
people
Karin Naldahl Senior Lecturer RN MHH(Master in Humanities in Health)
krnucndk
BrusselsFebruary 28th 2012
Presentation1) Why this case story
2) Participation in the More Life project
3) Project - aim method and stages
4) Sub-project - evening and night life
5) Sub- project - outdoor life
6) Project results and conclusions
7) How can the More Life project enhance the delivery of adult
learning in my region ndash and in the EU
Why this case story1)
The increasing amount of ageing people worldwide
Many old people are going to be very old The decreasing amount of children and young people in the EU fewer social- and healthcare persons
2) The need for care support and solidarity between the generations will still exist
3) A need for education programs which can move health care staff towards a more positive attitude towards old people
Participation in the More Life project Mealtimes and cookingSocial- and Healthcare School Herning (basic level)
Out-door LifeSchool of Occupational Therapy University College of Northern Denmark (UCN) (BA level)
ConversationsSocial- and Healthcare School Randers (basic level) Evenings and Night lifeSchool of Occupational Therapy and Nursing School University College
Northern Denmark (UCN) (BA level)
24 Nursing Homes and Day Care operations ind North and Mid Jutland
VEGA
Study Objective
To map document and communicate methods whith focus on values in old peoplersquos everyday lives (within the four sub-projects Meals and cooking Out-door life Conversations Evenings and Nightlife)
To adjust and modify knowledge of rsquobest practicersquo into a local setting through - continous tests of interventions for exchange - exchange of experience and networking
Study method The rsquoBreakthrough Seriesrsquo Collaborative Method Institute for Healthcare Improvement (IHI) Massachusetts
(Sarah Frazer Thomas W Nolan and others) httpwwwihiorgihiabouthelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
hellip
bull The Breakthrough Method ndash An evidence based method for development in the health care system
bull The Breakthrough method passes practical knowledge from one practice into another practice
bull Knowledge from rsquopractice no 1rsquo rsquopractice no 2rsquo knowledge translation
bull Translation of knowledge new meaning new types of thinking knowledge development
care development
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Stage 1Cataloque of ideas for More Life in Evening and Night life
4 Main SubjectsIntimacyRitualsBodily wellbeingPhysical sourroundings
Subjects and specific ideas for Evening and Night life
Intimacybull a moment of intimacy
bull information about tomorrow
bull say rsquogoodnightrsquobull etc
Bodily wellbeingbull heat padbull footbath
bull foot massagebull midnight snack
bull etc
Stage 1Cataloque of ideas for More life in Outdoor-life
2 Main Subjects
- Garden life- Walking
Specific ideas for Garden LifebullCountry garden
bull Vegetable gardenbullGreen care
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
The Model for Improvement
The Plan-Do-Study-Act (PDSA) cycle
The Plan-Do-Study-Act (PDSA) cycleTest periodhelliphelliphelliphelliphelliphelliphelliphelliphellip week number GOAL
Which goal do we have for the resident
4 ACT What did we learn
Which changes will be in focus inthe next plan
1 PLANWho does WhatWhenHow
3 STUDY Did we reach our expectations
Why Why not
2 DOWhat did we actually do
Which results did we see
How did we see the results
1 Plan Who does what ndash when - how--------------------------------------------------------------------------
GOAL Anna will be more calm more happy and sleep better at night Shortly after supper Irene or Gitte will give Anna a footbath
A precise description for Annarsquos footbath is made (look in the green book)
The evening and night staff will write in the handwritten journal how Annarsquos evening and night have been
Each Wednesday Joanna will collect Annarsquos journal papers and assess the results
2 Do What did we actually do and which results did we see-------------------------------------------------------------------------- Nov The 3 Footbath according to the plan Anna is happy and smiles during the session Vi talk about rsquobeeing ticklishrsquo Feet and ankles get lotion Later on we bring Anna tea and biscuits and she is really happy and smiles
Nov The 5 7 8 11 we follow our plan Anna is happy and talkative Also happy when she goes to bed
Nov The 4 6 og 10 Anna is a little rsquotouchyrsquo at supper and quiet when her footbath starts During the bath she loosens up Her body is more relaxed she says rsquoMmmhelliphelliphelliprsquo
During the period Anna only rises from bed once each eveningAt night Anna rises three nights one time four nights two times Anna is calm and willing to go to bed again
3 Study Did we reach our expectationsWhy ndash why not-------------------------------------------------------------------------- For example
At the beginning Anna seems surprised rdquodo you really want to wash my feetrsquo Now she fully enjoys her footbath ndash even if she is a little rsquotouchyrsquo at the beginning
When she is rsquotouchyrsquo it is always around supper
Why Do we rsquoforget rsquoher at this time Does she feel rsquooutsidersquo social life in the nursing home at this time - or is she just tired
4 Act What did we learn Which changes will be our focus in the next plan------------------------------------------------------------------------
We continue footbath with same procedure next week It is too early to make changes We try to be more aware of Anna in the afternoon and around supper
Go to her room talk with her - or just wave to her if we are busy
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
Presentation1) Why this case story
2) Participation in the More Life project
3) Project - aim method and stages
4) Sub-project - evening and night life
5) Sub- project - outdoor life
6) Project results and conclusions
7) How can the More Life project enhance the delivery of adult
learning in my region ndash and in the EU
Why this case story1)
The increasing amount of ageing people worldwide
Many old people are going to be very old The decreasing amount of children and young people in the EU fewer social- and healthcare persons
2) The need for care support and solidarity between the generations will still exist
3) A need for education programs which can move health care staff towards a more positive attitude towards old people
Participation in the More Life project Mealtimes and cookingSocial- and Healthcare School Herning (basic level)
Out-door LifeSchool of Occupational Therapy University College of Northern Denmark (UCN) (BA level)
ConversationsSocial- and Healthcare School Randers (basic level) Evenings and Night lifeSchool of Occupational Therapy and Nursing School University College
Northern Denmark (UCN) (BA level)
24 Nursing Homes and Day Care operations ind North and Mid Jutland
VEGA
Study Objective
To map document and communicate methods whith focus on values in old peoplersquos everyday lives (within the four sub-projects Meals and cooking Out-door life Conversations Evenings and Nightlife)
To adjust and modify knowledge of rsquobest practicersquo into a local setting through - continous tests of interventions for exchange - exchange of experience and networking
Study method The rsquoBreakthrough Seriesrsquo Collaborative Method Institute for Healthcare Improvement (IHI) Massachusetts
(Sarah Frazer Thomas W Nolan and others) httpwwwihiorgihiabouthelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
hellip
bull The Breakthrough Method ndash An evidence based method for development in the health care system
bull The Breakthrough method passes practical knowledge from one practice into another practice
bull Knowledge from rsquopractice no 1rsquo rsquopractice no 2rsquo knowledge translation
bull Translation of knowledge new meaning new types of thinking knowledge development
care development
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Stage 1Cataloque of ideas for More Life in Evening and Night life
4 Main SubjectsIntimacyRitualsBodily wellbeingPhysical sourroundings
Subjects and specific ideas for Evening and Night life
Intimacybull a moment of intimacy
bull information about tomorrow
bull say rsquogoodnightrsquobull etc
Bodily wellbeingbull heat padbull footbath
bull foot massagebull midnight snack
bull etc
Stage 1Cataloque of ideas for More life in Outdoor-life
2 Main Subjects
- Garden life- Walking
Specific ideas for Garden LifebullCountry garden
bull Vegetable gardenbullGreen care
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
The Model for Improvement
The Plan-Do-Study-Act (PDSA) cycle
The Plan-Do-Study-Act (PDSA) cycleTest periodhelliphelliphelliphelliphelliphelliphelliphelliphellip week number GOAL
Which goal do we have for the resident
4 ACT What did we learn
Which changes will be in focus inthe next plan
1 PLANWho does WhatWhenHow
3 STUDY Did we reach our expectations
Why Why not
2 DOWhat did we actually do
Which results did we see
How did we see the results
1 Plan Who does what ndash when - how--------------------------------------------------------------------------
GOAL Anna will be more calm more happy and sleep better at night Shortly after supper Irene or Gitte will give Anna a footbath
A precise description for Annarsquos footbath is made (look in the green book)
The evening and night staff will write in the handwritten journal how Annarsquos evening and night have been
Each Wednesday Joanna will collect Annarsquos journal papers and assess the results
2 Do What did we actually do and which results did we see-------------------------------------------------------------------------- Nov The 3 Footbath according to the plan Anna is happy and smiles during the session Vi talk about rsquobeeing ticklishrsquo Feet and ankles get lotion Later on we bring Anna tea and biscuits and she is really happy and smiles
Nov The 5 7 8 11 we follow our plan Anna is happy and talkative Also happy when she goes to bed
Nov The 4 6 og 10 Anna is a little rsquotouchyrsquo at supper and quiet when her footbath starts During the bath she loosens up Her body is more relaxed she says rsquoMmmhelliphelliphelliprsquo
During the period Anna only rises from bed once each eveningAt night Anna rises three nights one time four nights two times Anna is calm and willing to go to bed again
3 Study Did we reach our expectationsWhy ndash why not-------------------------------------------------------------------------- For example
At the beginning Anna seems surprised rdquodo you really want to wash my feetrsquo Now she fully enjoys her footbath ndash even if she is a little rsquotouchyrsquo at the beginning
When she is rsquotouchyrsquo it is always around supper
Why Do we rsquoforget rsquoher at this time Does she feel rsquooutsidersquo social life in the nursing home at this time - or is she just tired
4 Act What did we learn Which changes will be our focus in the next plan------------------------------------------------------------------------
We continue footbath with same procedure next week It is too early to make changes We try to be more aware of Anna in the afternoon and around supper
Go to her room talk with her - or just wave to her if we are busy
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
Why this case story1)
The increasing amount of ageing people worldwide
Many old people are going to be very old The decreasing amount of children and young people in the EU fewer social- and healthcare persons
2) The need for care support and solidarity between the generations will still exist
3) A need for education programs which can move health care staff towards a more positive attitude towards old people
Participation in the More Life project Mealtimes and cookingSocial- and Healthcare School Herning (basic level)
Out-door LifeSchool of Occupational Therapy University College of Northern Denmark (UCN) (BA level)
ConversationsSocial- and Healthcare School Randers (basic level) Evenings and Night lifeSchool of Occupational Therapy and Nursing School University College
Northern Denmark (UCN) (BA level)
24 Nursing Homes and Day Care operations ind North and Mid Jutland
VEGA
Study Objective
To map document and communicate methods whith focus on values in old peoplersquos everyday lives (within the four sub-projects Meals and cooking Out-door life Conversations Evenings and Nightlife)
To adjust and modify knowledge of rsquobest practicersquo into a local setting through - continous tests of interventions for exchange - exchange of experience and networking
Study method The rsquoBreakthrough Seriesrsquo Collaborative Method Institute for Healthcare Improvement (IHI) Massachusetts
(Sarah Frazer Thomas W Nolan and others) httpwwwihiorgihiabouthelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
hellip
bull The Breakthrough Method ndash An evidence based method for development in the health care system
bull The Breakthrough method passes practical knowledge from one practice into another practice
bull Knowledge from rsquopractice no 1rsquo rsquopractice no 2rsquo knowledge translation
bull Translation of knowledge new meaning new types of thinking knowledge development
care development
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Stage 1Cataloque of ideas for More Life in Evening and Night life
4 Main SubjectsIntimacyRitualsBodily wellbeingPhysical sourroundings
Subjects and specific ideas for Evening and Night life
Intimacybull a moment of intimacy
bull information about tomorrow
bull say rsquogoodnightrsquobull etc
Bodily wellbeingbull heat padbull footbath
bull foot massagebull midnight snack
bull etc
Stage 1Cataloque of ideas for More life in Outdoor-life
2 Main Subjects
- Garden life- Walking
Specific ideas for Garden LifebullCountry garden
bull Vegetable gardenbullGreen care
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
The Model for Improvement
The Plan-Do-Study-Act (PDSA) cycle
The Plan-Do-Study-Act (PDSA) cycleTest periodhelliphelliphelliphelliphelliphelliphelliphelliphellip week number GOAL
Which goal do we have for the resident
4 ACT What did we learn
Which changes will be in focus inthe next plan
1 PLANWho does WhatWhenHow
3 STUDY Did we reach our expectations
Why Why not
2 DOWhat did we actually do
Which results did we see
How did we see the results
1 Plan Who does what ndash when - how--------------------------------------------------------------------------
GOAL Anna will be more calm more happy and sleep better at night Shortly after supper Irene or Gitte will give Anna a footbath
A precise description for Annarsquos footbath is made (look in the green book)
The evening and night staff will write in the handwritten journal how Annarsquos evening and night have been
Each Wednesday Joanna will collect Annarsquos journal papers and assess the results
2 Do What did we actually do and which results did we see-------------------------------------------------------------------------- Nov The 3 Footbath according to the plan Anna is happy and smiles during the session Vi talk about rsquobeeing ticklishrsquo Feet and ankles get lotion Later on we bring Anna tea and biscuits and she is really happy and smiles
Nov The 5 7 8 11 we follow our plan Anna is happy and talkative Also happy when she goes to bed
Nov The 4 6 og 10 Anna is a little rsquotouchyrsquo at supper and quiet when her footbath starts During the bath she loosens up Her body is more relaxed she says rsquoMmmhelliphelliphelliprsquo
During the period Anna only rises from bed once each eveningAt night Anna rises three nights one time four nights two times Anna is calm and willing to go to bed again
3 Study Did we reach our expectationsWhy ndash why not-------------------------------------------------------------------------- For example
At the beginning Anna seems surprised rdquodo you really want to wash my feetrsquo Now she fully enjoys her footbath ndash even if she is a little rsquotouchyrsquo at the beginning
When she is rsquotouchyrsquo it is always around supper
Why Do we rsquoforget rsquoher at this time Does she feel rsquooutsidersquo social life in the nursing home at this time - or is she just tired
4 Act What did we learn Which changes will be our focus in the next plan------------------------------------------------------------------------
We continue footbath with same procedure next week It is too early to make changes We try to be more aware of Anna in the afternoon and around supper
Go to her room talk with her - or just wave to her if we are busy
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
Participation in the More Life project Mealtimes and cookingSocial- and Healthcare School Herning (basic level)
Out-door LifeSchool of Occupational Therapy University College of Northern Denmark (UCN) (BA level)
ConversationsSocial- and Healthcare School Randers (basic level) Evenings and Night lifeSchool of Occupational Therapy and Nursing School University College
Northern Denmark (UCN) (BA level)
24 Nursing Homes and Day Care operations ind North and Mid Jutland
VEGA
Study Objective
To map document and communicate methods whith focus on values in old peoplersquos everyday lives (within the four sub-projects Meals and cooking Out-door life Conversations Evenings and Nightlife)
To adjust and modify knowledge of rsquobest practicersquo into a local setting through - continous tests of interventions for exchange - exchange of experience and networking
Study method The rsquoBreakthrough Seriesrsquo Collaborative Method Institute for Healthcare Improvement (IHI) Massachusetts
(Sarah Frazer Thomas W Nolan and others) httpwwwihiorgihiabouthelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
hellip
bull The Breakthrough Method ndash An evidence based method for development in the health care system
bull The Breakthrough method passes practical knowledge from one practice into another practice
bull Knowledge from rsquopractice no 1rsquo rsquopractice no 2rsquo knowledge translation
bull Translation of knowledge new meaning new types of thinking knowledge development
care development
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Stage 1Cataloque of ideas for More Life in Evening and Night life
4 Main SubjectsIntimacyRitualsBodily wellbeingPhysical sourroundings
Subjects and specific ideas for Evening and Night life
Intimacybull a moment of intimacy
bull information about tomorrow
bull say rsquogoodnightrsquobull etc
Bodily wellbeingbull heat padbull footbath
bull foot massagebull midnight snack
bull etc
Stage 1Cataloque of ideas for More life in Outdoor-life
2 Main Subjects
- Garden life- Walking
Specific ideas for Garden LifebullCountry garden
bull Vegetable gardenbullGreen care
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
The Model for Improvement
The Plan-Do-Study-Act (PDSA) cycle
The Plan-Do-Study-Act (PDSA) cycleTest periodhelliphelliphelliphelliphelliphelliphelliphelliphellip week number GOAL
Which goal do we have for the resident
4 ACT What did we learn
Which changes will be in focus inthe next plan
1 PLANWho does WhatWhenHow
3 STUDY Did we reach our expectations
Why Why not
2 DOWhat did we actually do
Which results did we see
How did we see the results
1 Plan Who does what ndash when - how--------------------------------------------------------------------------
GOAL Anna will be more calm more happy and sleep better at night Shortly after supper Irene or Gitte will give Anna a footbath
A precise description for Annarsquos footbath is made (look in the green book)
The evening and night staff will write in the handwritten journal how Annarsquos evening and night have been
Each Wednesday Joanna will collect Annarsquos journal papers and assess the results
2 Do What did we actually do and which results did we see-------------------------------------------------------------------------- Nov The 3 Footbath according to the plan Anna is happy and smiles during the session Vi talk about rsquobeeing ticklishrsquo Feet and ankles get lotion Later on we bring Anna tea and biscuits and she is really happy and smiles
Nov The 5 7 8 11 we follow our plan Anna is happy and talkative Also happy when she goes to bed
Nov The 4 6 og 10 Anna is a little rsquotouchyrsquo at supper and quiet when her footbath starts During the bath she loosens up Her body is more relaxed she says rsquoMmmhelliphelliphelliprsquo
During the period Anna only rises from bed once each eveningAt night Anna rises three nights one time four nights two times Anna is calm and willing to go to bed again
3 Study Did we reach our expectationsWhy ndash why not-------------------------------------------------------------------------- For example
At the beginning Anna seems surprised rdquodo you really want to wash my feetrsquo Now she fully enjoys her footbath ndash even if she is a little rsquotouchyrsquo at the beginning
When she is rsquotouchyrsquo it is always around supper
Why Do we rsquoforget rsquoher at this time Does she feel rsquooutsidersquo social life in the nursing home at this time - or is she just tired
4 Act What did we learn Which changes will be our focus in the next plan------------------------------------------------------------------------
We continue footbath with same procedure next week It is too early to make changes We try to be more aware of Anna in the afternoon and around supper
Go to her room talk with her - or just wave to her if we are busy
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
Study Objective
To map document and communicate methods whith focus on values in old peoplersquos everyday lives (within the four sub-projects Meals and cooking Out-door life Conversations Evenings and Nightlife)
To adjust and modify knowledge of rsquobest practicersquo into a local setting through - continous tests of interventions for exchange - exchange of experience and networking
Study method The rsquoBreakthrough Seriesrsquo Collaborative Method Institute for Healthcare Improvement (IHI) Massachusetts
(Sarah Frazer Thomas W Nolan and others) httpwwwihiorgihiabouthelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
hellip
bull The Breakthrough Method ndash An evidence based method for development in the health care system
bull The Breakthrough method passes practical knowledge from one practice into another practice
bull Knowledge from rsquopractice no 1rsquo rsquopractice no 2rsquo knowledge translation
bull Translation of knowledge new meaning new types of thinking knowledge development
care development
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Stage 1Cataloque of ideas for More Life in Evening and Night life
4 Main SubjectsIntimacyRitualsBodily wellbeingPhysical sourroundings
Subjects and specific ideas for Evening and Night life
Intimacybull a moment of intimacy
bull information about tomorrow
bull say rsquogoodnightrsquobull etc
Bodily wellbeingbull heat padbull footbath
bull foot massagebull midnight snack
bull etc
Stage 1Cataloque of ideas for More life in Outdoor-life
2 Main Subjects
- Garden life- Walking
Specific ideas for Garden LifebullCountry garden
bull Vegetable gardenbullGreen care
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
The Model for Improvement
The Plan-Do-Study-Act (PDSA) cycle
The Plan-Do-Study-Act (PDSA) cycleTest periodhelliphelliphelliphelliphelliphelliphelliphelliphellip week number GOAL
Which goal do we have for the resident
4 ACT What did we learn
Which changes will be in focus inthe next plan
1 PLANWho does WhatWhenHow
3 STUDY Did we reach our expectations
Why Why not
2 DOWhat did we actually do
Which results did we see
How did we see the results
1 Plan Who does what ndash when - how--------------------------------------------------------------------------
GOAL Anna will be more calm more happy and sleep better at night Shortly after supper Irene or Gitte will give Anna a footbath
A precise description for Annarsquos footbath is made (look in the green book)
The evening and night staff will write in the handwritten journal how Annarsquos evening and night have been
Each Wednesday Joanna will collect Annarsquos journal papers and assess the results
2 Do What did we actually do and which results did we see-------------------------------------------------------------------------- Nov The 3 Footbath according to the plan Anna is happy and smiles during the session Vi talk about rsquobeeing ticklishrsquo Feet and ankles get lotion Later on we bring Anna tea and biscuits and she is really happy and smiles
Nov The 5 7 8 11 we follow our plan Anna is happy and talkative Also happy when she goes to bed
Nov The 4 6 og 10 Anna is a little rsquotouchyrsquo at supper and quiet when her footbath starts During the bath she loosens up Her body is more relaxed she says rsquoMmmhelliphelliphelliprsquo
During the period Anna only rises from bed once each eveningAt night Anna rises three nights one time four nights two times Anna is calm and willing to go to bed again
3 Study Did we reach our expectationsWhy ndash why not-------------------------------------------------------------------------- For example
At the beginning Anna seems surprised rdquodo you really want to wash my feetrsquo Now she fully enjoys her footbath ndash even if she is a little rsquotouchyrsquo at the beginning
When she is rsquotouchyrsquo it is always around supper
Why Do we rsquoforget rsquoher at this time Does she feel rsquooutsidersquo social life in the nursing home at this time - or is she just tired
4 Act What did we learn Which changes will be our focus in the next plan------------------------------------------------------------------------
We continue footbath with same procedure next week It is too early to make changes We try to be more aware of Anna in the afternoon and around supper
Go to her room talk with her - or just wave to her if we are busy
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
Study method The rsquoBreakthrough Seriesrsquo Collaborative Method Institute for Healthcare Improvement (IHI) Massachusetts
(Sarah Frazer Thomas W Nolan and others) httpwwwihiorgihiabouthelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
hellip
bull The Breakthrough Method ndash An evidence based method for development in the health care system
bull The Breakthrough method passes practical knowledge from one practice into another practice
bull Knowledge from rsquopractice no 1rsquo rsquopractice no 2rsquo knowledge translation
bull Translation of knowledge new meaning new types of thinking knowledge development
care development
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Stage 1Cataloque of ideas for More Life in Evening and Night life
4 Main SubjectsIntimacyRitualsBodily wellbeingPhysical sourroundings
Subjects and specific ideas for Evening and Night life
Intimacybull a moment of intimacy
bull information about tomorrow
bull say rsquogoodnightrsquobull etc
Bodily wellbeingbull heat padbull footbath
bull foot massagebull midnight snack
bull etc
Stage 1Cataloque of ideas for More life in Outdoor-life
2 Main Subjects
- Garden life- Walking
Specific ideas for Garden LifebullCountry garden
bull Vegetable gardenbullGreen care
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
The Model for Improvement
The Plan-Do-Study-Act (PDSA) cycle
The Plan-Do-Study-Act (PDSA) cycleTest periodhelliphelliphelliphelliphelliphelliphelliphelliphellip week number GOAL
Which goal do we have for the resident
4 ACT What did we learn
Which changes will be in focus inthe next plan
1 PLANWho does WhatWhenHow
3 STUDY Did we reach our expectations
Why Why not
2 DOWhat did we actually do
Which results did we see
How did we see the results
1 Plan Who does what ndash when - how--------------------------------------------------------------------------
GOAL Anna will be more calm more happy and sleep better at night Shortly after supper Irene or Gitte will give Anna a footbath
A precise description for Annarsquos footbath is made (look in the green book)
The evening and night staff will write in the handwritten journal how Annarsquos evening and night have been
Each Wednesday Joanna will collect Annarsquos journal papers and assess the results
2 Do What did we actually do and which results did we see-------------------------------------------------------------------------- Nov The 3 Footbath according to the plan Anna is happy and smiles during the session Vi talk about rsquobeeing ticklishrsquo Feet and ankles get lotion Later on we bring Anna tea and biscuits and she is really happy and smiles
Nov The 5 7 8 11 we follow our plan Anna is happy and talkative Also happy when she goes to bed
Nov The 4 6 og 10 Anna is a little rsquotouchyrsquo at supper and quiet when her footbath starts During the bath she loosens up Her body is more relaxed she says rsquoMmmhelliphelliphelliprsquo
During the period Anna only rises from bed once each eveningAt night Anna rises three nights one time four nights two times Anna is calm and willing to go to bed again
3 Study Did we reach our expectationsWhy ndash why not-------------------------------------------------------------------------- For example
At the beginning Anna seems surprised rdquodo you really want to wash my feetrsquo Now she fully enjoys her footbath ndash even if she is a little rsquotouchyrsquo at the beginning
When she is rsquotouchyrsquo it is always around supper
Why Do we rsquoforget rsquoher at this time Does she feel rsquooutsidersquo social life in the nursing home at this time - or is she just tired
4 Act What did we learn Which changes will be our focus in the next plan------------------------------------------------------------------------
We continue footbath with same procedure next week It is too early to make changes We try to be more aware of Anna in the afternoon and around supper
Go to her room talk with her - or just wave to her if we are busy
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Stage 1Cataloque of ideas for More Life in Evening and Night life
4 Main SubjectsIntimacyRitualsBodily wellbeingPhysical sourroundings
Subjects and specific ideas for Evening and Night life
Intimacybull a moment of intimacy
bull information about tomorrow
bull say rsquogoodnightrsquobull etc
Bodily wellbeingbull heat padbull footbath
bull foot massagebull midnight snack
bull etc
Stage 1Cataloque of ideas for More life in Outdoor-life
2 Main Subjects
- Garden life- Walking
Specific ideas for Garden LifebullCountry garden
bull Vegetable gardenbullGreen care
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
The Model for Improvement
The Plan-Do-Study-Act (PDSA) cycle
The Plan-Do-Study-Act (PDSA) cycleTest periodhelliphelliphelliphelliphelliphelliphelliphelliphellip week number GOAL
Which goal do we have for the resident
4 ACT What did we learn
Which changes will be in focus inthe next plan
1 PLANWho does WhatWhenHow
3 STUDY Did we reach our expectations
Why Why not
2 DOWhat did we actually do
Which results did we see
How did we see the results
1 Plan Who does what ndash when - how--------------------------------------------------------------------------
GOAL Anna will be more calm more happy and sleep better at night Shortly after supper Irene or Gitte will give Anna a footbath
A precise description for Annarsquos footbath is made (look in the green book)
The evening and night staff will write in the handwritten journal how Annarsquos evening and night have been
Each Wednesday Joanna will collect Annarsquos journal papers and assess the results
2 Do What did we actually do and which results did we see-------------------------------------------------------------------------- Nov The 3 Footbath according to the plan Anna is happy and smiles during the session Vi talk about rsquobeeing ticklishrsquo Feet and ankles get lotion Later on we bring Anna tea and biscuits and she is really happy and smiles
Nov The 5 7 8 11 we follow our plan Anna is happy and talkative Also happy when she goes to bed
Nov The 4 6 og 10 Anna is a little rsquotouchyrsquo at supper and quiet when her footbath starts During the bath she loosens up Her body is more relaxed she says rsquoMmmhelliphelliphelliprsquo
During the period Anna only rises from bed once each eveningAt night Anna rises three nights one time four nights two times Anna is calm and willing to go to bed again
3 Study Did we reach our expectationsWhy ndash why not-------------------------------------------------------------------------- For example
At the beginning Anna seems surprised rdquodo you really want to wash my feetrsquo Now she fully enjoys her footbath ndash even if she is a little rsquotouchyrsquo at the beginning
When she is rsquotouchyrsquo it is always around supper
Why Do we rsquoforget rsquoher at this time Does she feel rsquooutsidersquo social life in the nursing home at this time - or is she just tired
4 Act What did we learn Which changes will be our focus in the next plan------------------------------------------------------------------------
We continue footbath with same procedure next week It is too early to make changes We try to be more aware of Anna in the afternoon and around supper
Go to her room talk with her - or just wave to her if we are busy
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
Stage 1Cataloque of ideas for More Life in Evening and Night life
4 Main SubjectsIntimacyRitualsBodily wellbeingPhysical sourroundings
Subjects and specific ideas for Evening and Night life
Intimacybull a moment of intimacy
bull information about tomorrow
bull say rsquogoodnightrsquobull etc
Bodily wellbeingbull heat padbull footbath
bull foot massagebull midnight snack
bull etc
Stage 1Cataloque of ideas for More life in Outdoor-life
2 Main Subjects
- Garden life- Walking
Specific ideas for Garden LifebullCountry garden
bull Vegetable gardenbullGreen care
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
The Model for Improvement
The Plan-Do-Study-Act (PDSA) cycle
The Plan-Do-Study-Act (PDSA) cycleTest periodhelliphelliphelliphelliphelliphelliphelliphelliphellip week number GOAL
Which goal do we have for the resident
4 ACT What did we learn
Which changes will be in focus inthe next plan
1 PLANWho does WhatWhenHow
3 STUDY Did we reach our expectations
Why Why not
2 DOWhat did we actually do
Which results did we see
How did we see the results
1 Plan Who does what ndash when - how--------------------------------------------------------------------------
GOAL Anna will be more calm more happy and sleep better at night Shortly after supper Irene or Gitte will give Anna a footbath
A precise description for Annarsquos footbath is made (look in the green book)
The evening and night staff will write in the handwritten journal how Annarsquos evening and night have been
Each Wednesday Joanna will collect Annarsquos journal papers and assess the results
2 Do What did we actually do and which results did we see-------------------------------------------------------------------------- Nov The 3 Footbath according to the plan Anna is happy and smiles during the session Vi talk about rsquobeeing ticklishrsquo Feet and ankles get lotion Later on we bring Anna tea and biscuits and she is really happy and smiles
Nov The 5 7 8 11 we follow our plan Anna is happy and talkative Also happy when she goes to bed
Nov The 4 6 og 10 Anna is a little rsquotouchyrsquo at supper and quiet when her footbath starts During the bath she loosens up Her body is more relaxed she says rsquoMmmhelliphelliphelliprsquo
During the period Anna only rises from bed once each eveningAt night Anna rises three nights one time four nights two times Anna is calm and willing to go to bed again
3 Study Did we reach our expectationsWhy ndash why not-------------------------------------------------------------------------- For example
At the beginning Anna seems surprised rdquodo you really want to wash my feetrsquo Now she fully enjoys her footbath ndash even if she is a little rsquotouchyrsquo at the beginning
When she is rsquotouchyrsquo it is always around supper
Why Do we rsquoforget rsquoher at this time Does she feel rsquooutsidersquo social life in the nursing home at this time - or is she just tired
4 Act What did we learn Which changes will be our focus in the next plan------------------------------------------------------------------------
We continue footbath with same procedure next week It is too early to make changes We try to be more aware of Anna in the afternoon and around supper
Go to her room talk with her - or just wave to her if we are busy
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
Subjects and specific ideas for Evening and Night life
Intimacybull a moment of intimacy
bull information about tomorrow
bull say rsquogoodnightrsquobull etc
Bodily wellbeingbull heat padbull footbath
bull foot massagebull midnight snack
bull etc
Stage 1Cataloque of ideas for More life in Outdoor-life
2 Main Subjects
- Garden life- Walking
Specific ideas for Garden LifebullCountry garden
bull Vegetable gardenbullGreen care
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
The Model for Improvement
The Plan-Do-Study-Act (PDSA) cycle
The Plan-Do-Study-Act (PDSA) cycleTest periodhelliphelliphelliphelliphelliphelliphelliphelliphellip week number GOAL
Which goal do we have for the resident
4 ACT What did we learn
Which changes will be in focus inthe next plan
1 PLANWho does WhatWhenHow
3 STUDY Did we reach our expectations
Why Why not
2 DOWhat did we actually do
Which results did we see
How did we see the results
1 Plan Who does what ndash when - how--------------------------------------------------------------------------
GOAL Anna will be more calm more happy and sleep better at night Shortly after supper Irene or Gitte will give Anna a footbath
A precise description for Annarsquos footbath is made (look in the green book)
The evening and night staff will write in the handwritten journal how Annarsquos evening and night have been
Each Wednesday Joanna will collect Annarsquos journal papers and assess the results
2 Do What did we actually do and which results did we see-------------------------------------------------------------------------- Nov The 3 Footbath according to the plan Anna is happy and smiles during the session Vi talk about rsquobeeing ticklishrsquo Feet and ankles get lotion Later on we bring Anna tea and biscuits and she is really happy and smiles
Nov The 5 7 8 11 we follow our plan Anna is happy and talkative Also happy when she goes to bed
Nov The 4 6 og 10 Anna is a little rsquotouchyrsquo at supper and quiet when her footbath starts During the bath she loosens up Her body is more relaxed she says rsquoMmmhelliphelliphelliprsquo
During the period Anna only rises from bed once each eveningAt night Anna rises three nights one time four nights two times Anna is calm and willing to go to bed again
3 Study Did we reach our expectationsWhy ndash why not-------------------------------------------------------------------------- For example
At the beginning Anna seems surprised rdquodo you really want to wash my feetrsquo Now she fully enjoys her footbath ndash even if she is a little rsquotouchyrsquo at the beginning
When she is rsquotouchyrsquo it is always around supper
Why Do we rsquoforget rsquoher at this time Does she feel rsquooutsidersquo social life in the nursing home at this time - or is she just tired
4 Act What did we learn Which changes will be our focus in the next plan------------------------------------------------------------------------
We continue footbath with same procedure next week It is too early to make changes We try to be more aware of Anna in the afternoon and around supper
Go to her room talk with her - or just wave to her if we are busy
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
Stage 1Cataloque of ideas for More life in Outdoor-life
2 Main Subjects
- Garden life- Walking
Specific ideas for Garden LifebullCountry garden
bull Vegetable gardenbullGreen care
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
The Model for Improvement
The Plan-Do-Study-Act (PDSA) cycle
The Plan-Do-Study-Act (PDSA) cycleTest periodhelliphelliphelliphelliphelliphelliphelliphelliphellip week number GOAL
Which goal do we have for the resident
4 ACT What did we learn
Which changes will be in focus inthe next plan
1 PLANWho does WhatWhenHow
3 STUDY Did we reach our expectations
Why Why not
2 DOWhat did we actually do
Which results did we see
How did we see the results
1 Plan Who does what ndash when - how--------------------------------------------------------------------------
GOAL Anna will be more calm more happy and sleep better at night Shortly after supper Irene or Gitte will give Anna a footbath
A precise description for Annarsquos footbath is made (look in the green book)
The evening and night staff will write in the handwritten journal how Annarsquos evening and night have been
Each Wednesday Joanna will collect Annarsquos journal papers and assess the results
2 Do What did we actually do and which results did we see-------------------------------------------------------------------------- Nov The 3 Footbath according to the plan Anna is happy and smiles during the session Vi talk about rsquobeeing ticklishrsquo Feet and ankles get lotion Later on we bring Anna tea and biscuits and she is really happy and smiles
Nov The 5 7 8 11 we follow our plan Anna is happy and talkative Also happy when she goes to bed
Nov The 4 6 og 10 Anna is a little rsquotouchyrsquo at supper and quiet when her footbath starts During the bath she loosens up Her body is more relaxed she says rsquoMmmhelliphelliphelliprsquo
During the period Anna only rises from bed once each eveningAt night Anna rises three nights one time four nights two times Anna is calm and willing to go to bed again
3 Study Did we reach our expectationsWhy ndash why not-------------------------------------------------------------------------- For example
At the beginning Anna seems surprised rdquodo you really want to wash my feetrsquo Now she fully enjoys her footbath ndash even if she is a little rsquotouchyrsquo at the beginning
When she is rsquotouchyrsquo it is always around supper
Why Do we rsquoforget rsquoher at this time Does she feel rsquooutsidersquo social life in the nursing home at this time - or is she just tired
4 Act What did we learn Which changes will be our focus in the next plan------------------------------------------------------------------------
We continue footbath with same procedure next week It is too early to make changes We try to be more aware of Anna in the afternoon and around supper
Go to her room talk with her - or just wave to her if we are busy
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
The Model for Improvement
The Plan-Do-Study-Act (PDSA) cycle
The Plan-Do-Study-Act (PDSA) cycleTest periodhelliphelliphelliphelliphelliphelliphelliphelliphellip week number GOAL
Which goal do we have for the resident
4 ACT What did we learn
Which changes will be in focus inthe next plan
1 PLANWho does WhatWhenHow
3 STUDY Did we reach our expectations
Why Why not
2 DOWhat did we actually do
Which results did we see
How did we see the results
1 Plan Who does what ndash when - how--------------------------------------------------------------------------
GOAL Anna will be more calm more happy and sleep better at night Shortly after supper Irene or Gitte will give Anna a footbath
A precise description for Annarsquos footbath is made (look in the green book)
The evening and night staff will write in the handwritten journal how Annarsquos evening and night have been
Each Wednesday Joanna will collect Annarsquos journal papers and assess the results
2 Do What did we actually do and which results did we see-------------------------------------------------------------------------- Nov The 3 Footbath according to the plan Anna is happy and smiles during the session Vi talk about rsquobeeing ticklishrsquo Feet and ankles get lotion Later on we bring Anna tea and biscuits and she is really happy and smiles
Nov The 5 7 8 11 we follow our plan Anna is happy and talkative Also happy when she goes to bed
Nov The 4 6 og 10 Anna is a little rsquotouchyrsquo at supper and quiet when her footbath starts During the bath she loosens up Her body is more relaxed she says rsquoMmmhelliphelliphelliprsquo
During the period Anna only rises from bed once each eveningAt night Anna rises three nights one time four nights two times Anna is calm and willing to go to bed again
3 Study Did we reach our expectationsWhy ndash why not-------------------------------------------------------------------------- For example
At the beginning Anna seems surprised rdquodo you really want to wash my feetrsquo Now she fully enjoys her footbath ndash even if she is a little rsquotouchyrsquo at the beginning
When she is rsquotouchyrsquo it is always around supper
Why Do we rsquoforget rsquoher at this time Does she feel rsquooutsidersquo social life in the nursing home at this time - or is she just tired
4 Act What did we learn Which changes will be our focus in the next plan------------------------------------------------------------------------
We continue footbath with same procedure next week It is too early to make changes We try to be more aware of Anna in the afternoon and around supper
Go to her room talk with her - or just wave to her if we are busy
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
The Model for Improvement
The Plan-Do-Study-Act (PDSA) cycle
The Plan-Do-Study-Act (PDSA) cycleTest periodhelliphelliphelliphelliphelliphelliphelliphelliphellip week number GOAL
Which goal do we have for the resident
4 ACT What did we learn
Which changes will be in focus inthe next plan
1 PLANWho does WhatWhenHow
3 STUDY Did we reach our expectations
Why Why not
2 DOWhat did we actually do
Which results did we see
How did we see the results
1 Plan Who does what ndash when - how--------------------------------------------------------------------------
GOAL Anna will be more calm more happy and sleep better at night Shortly after supper Irene or Gitte will give Anna a footbath
A precise description for Annarsquos footbath is made (look in the green book)
The evening and night staff will write in the handwritten journal how Annarsquos evening and night have been
Each Wednesday Joanna will collect Annarsquos journal papers and assess the results
2 Do What did we actually do and which results did we see-------------------------------------------------------------------------- Nov The 3 Footbath according to the plan Anna is happy and smiles during the session Vi talk about rsquobeeing ticklishrsquo Feet and ankles get lotion Later on we bring Anna tea and biscuits and she is really happy and smiles
Nov The 5 7 8 11 we follow our plan Anna is happy and talkative Also happy when she goes to bed
Nov The 4 6 og 10 Anna is a little rsquotouchyrsquo at supper and quiet when her footbath starts During the bath she loosens up Her body is more relaxed she says rsquoMmmhelliphelliphelliprsquo
During the period Anna only rises from bed once each eveningAt night Anna rises three nights one time four nights two times Anna is calm and willing to go to bed again
3 Study Did we reach our expectationsWhy ndash why not-------------------------------------------------------------------------- For example
At the beginning Anna seems surprised rdquodo you really want to wash my feetrsquo Now she fully enjoys her footbath ndash even if she is a little rsquotouchyrsquo at the beginning
When she is rsquotouchyrsquo it is always around supper
Why Do we rsquoforget rsquoher at this time Does she feel rsquooutsidersquo social life in the nursing home at this time - or is she just tired
4 Act What did we learn Which changes will be our focus in the next plan------------------------------------------------------------------------
We continue footbath with same procedure next week It is too early to make changes We try to be more aware of Anna in the afternoon and around supper
Go to her room talk with her - or just wave to her if we are busy
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
The Plan-Do-Study-Act (PDSA) cycleTest periodhelliphelliphelliphelliphelliphelliphelliphelliphellip week number GOAL
Which goal do we have for the resident
4 ACT What did we learn
Which changes will be in focus inthe next plan
1 PLANWho does WhatWhenHow
3 STUDY Did we reach our expectations
Why Why not
2 DOWhat did we actually do
Which results did we see
How did we see the results
1 Plan Who does what ndash when - how--------------------------------------------------------------------------
GOAL Anna will be more calm more happy and sleep better at night Shortly after supper Irene or Gitte will give Anna a footbath
A precise description for Annarsquos footbath is made (look in the green book)
The evening and night staff will write in the handwritten journal how Annarsquos evening and night have been
Each Wednesday Joanna will collect Annarsquos journal papers and assess the results
2 Do What did we actually do and which results did we see-------------------------------------------------------------------------- Nov The 3 Footbath according to the plan Anna is happy and smiles during the session Vi talk about rsquobeeing ticklishrsquo Feet and ankles get lotion Later on we bring Anna tea and biscuits and she is really happy and smiles
Nov The 5 7 8 11 we follow our plan Anna is happy and talkative Also happy when she goes to bed
Nov The 4 6 og 10 Anna is a little rsquotouchyrsquo at supper and quiet when her footbath starts During the bath she loosens up Her body is more relaxed she says rsquoMmmhelliphelliphelliprsquo
During the period Anna only rises from bed once each eveningAt night Anna rises three nights one time four nights two times Anna is calm and willing to go to bed again
3 Study Did we reach our expectationsWhy ndash why not-------------------------------------------------------------------------- For example
At the beginning Anna seems surprised rdquodo you really want to wash my feetrsquo Now she fully enjoys her footbath ndash even if she is a little rsquotouchyrsquo at the beginning
When she is rsquotouchyrsquo it is always around supper
Why Do we rsquoforget rsquoher at this time Does she feel rsquooutsidersquo social life in the nursing home at this time - or is she just tired
4 Act What did we learn Which changes will be our focus in the next plan------------------------------------------------------------------------
We continue footbath with same procedure next week It is too early to make changes We try to be more aware of Anna in the afternoon and around supper
Go to her room talk with her - or just wave to her if we are busy
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
1 Plan Who does what ndash when - how--------------------------------------------------------------------------
GOAL Anna will be more calm more happy and sleep better at night Shortly after supper Irene or Gitte will give Anna a footbath
A precise description for Annarsquos footbath is made (look in the green book)
The evening and night staff will write in the handwritten journal how Annarsquos evening and night have been
Each Wednesday Joanna will collect Annarsquos journal papers and assess the results
2 Do What did we actually do and which results did we see-------------------------------------------------------------------------- Nov The 3 Footbath according to the plan Anna is happy and smiles during the session Vi talk about rsquobeeing ticklishrsquo Feet and ankles get lotion Later on we bring Anna tea and biscuits and she is really happy and smiles
Nov The 5 7 8 11 we follow our plan Anna is happy and talkative Also happy when she goes to bed
Nov The 4 6 og 10 Anna is a little rsquotouchyrsquo at supper and quiet when her footbath starts During the bath she loosens up Her body is more relaxed she says rsquoMmmhelliphelliphelliprsquo
During the period Anna only rises from bed once each eveningAt night Anna rises three nights one time four nights two times Anna is calm and willing to go to bed again
3 Study Did we reach our expectationsWhy ndash why not-------------------------------------------------------------------------- For example
At the beginning Anna seems surprised rdquodo you really want to wash my feetrsquo Now she fully enjoys her footbath ndash even if she is a little rsquotouchyrsquo at the beginning
When she is rsquotouchyrsquo it is always around supper
Why Do we rsquoforget rsquoher at this time Does she feel rsquooutsidersquo social life in the nursing home at this time - or is she just tired
4 Act What did we learn Which changes will be our focus in the next plan------------------------------------------------------------------------
We continue footbath with same procedure next week It is too early to make changes We try to be more aware of Anna in the afternoon and around supper
Go to her room talk with her - or just wave to her if we are busy
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
2 Do What did we actually do and which results did we see-------------------------------------------------------------------------- Nov The 3 Footbath according to the plan Anna is happy and smiles during the session Vi talk about rsquobeeing ticklishrsquo Feet and ankles get lotion Later on we bring Anna tea and biscuits and she is really happy and smiles
Nov The 5 7 8 11 we follow our plan Anna is happy and talkative Also happy when she goes to bed
Nov The 4 6 og 10 Anna is a little rsquotouchyrsquo at supper and quiet when her footbath starts During the bath she loosens up Her body is more relaxed she says rsquoMmmhelliphelliphelliprsquo
During the period Anna only rises from bed once each eveningAt night Anna rises three nights one time four nights two times Anna is calm and willing to go to bed again
3 Study Did we reach our expectationsWhy ndash why not-------------------------------------------------------------------------- For example
At the beginning Anna seems surprised rdquodo you really want to wash my feetrsquo Now she fully enjoys her footbath ndash even if she is a little rsquotouchyrsquo at the beginning
When she is rsquotouchyrsquo it is always around supper
Why Do we rsquoforget rsquoher at this time Does she feel rsquooutsidersquo social life in the nursing home at this time - or is she just tired
4 Act What did we learn Which changes will be our focus in the next plan------------------------------------------------------------------------
We continue footbath with same procedure next week It is too early to make changes We try to be more aware of Anna in the afternoon and around supper
Go to her room talk with her - or just wave to her if we are busy
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
3 Study Did we reach our expectationsWhy ndash why not-------------------------------------------------------------------------- For example
At the beginning Anna seems surprised rdquodo you really want to wash my feetrsquo Now she fully enjoys her footbath ndash even if she is a little rsquotouchyrsquo at the beginning
When she is rsquotouchyrsquo it is always around supper
Why Do we rsquoforget rsquoher at this time Does she feel rsquooutsidersquo social life in the nursing home at this time - or is she just tired
4 Act What did we learn Which changes will be our focus in the next plan------------------------------------------------------------------------
We continue footbath with same procedure next week It is too early to make changes We try to be more aware of Anna in the afternoon and around supper
Go to her room talk with her - or just wave to her if we are busy
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
4 Act What did we learn Which changes will be our focus in the next plan------------------------------------------------------------------------
We continue footbath with same procedure next week It is too early to make changes We try to be more aware of Anna in the afternoon and around supper
Go to her room talk with her - or just wave to her if we are busy
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
Stage 12007 2008(12 months)
Stage 22008 2009(18 months)
Stage 32009 2010
(12 months)
Search literature
Collect ideas from eldercare institutions
Establish network
Test ideas
Assess effect PDSA circle
Bring out conclusions
Communicate to new eldercare institutions
Produce cataloques with ideas
Collect experience (data) - pictures - narratives
Document experience - reports - seminars - video etc etc
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
Results and ConclusionsIn 18 (of 24) institutions caregivers succeeded in translating ideas of caregiving into their own practice
The 18 institutions developed valuable quality in everyday lives for the residents (more participation better social contact life re-blossoming etc)
The Breakthrough Method is useful to map and develop quality in everyday life for old vulnerable people if caregivers are able to hold on to the systematics of the method
The Breakthrough Method costs very limited economical resources
Project side effects The development of more life quality for residents gives more work quality to caregivers and enhance their competences
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU --------------------------------------------------------------------- Enhance staff membersrsquo positive attitudes towards weak old people
Give- learning possibilities within different qualifications and levels of education - multidiciplinary learning possibilities - possibilities for community and civic participation - possibilities for further development of the More Life project and design
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
How can the More Life projectsrsquo SIDE EFFECTS enhance the delivery of adult learning in my region ndash and in the EU ---------------------------------------------------------------------
Bridge the gap between practice and theory Turn tacit knowledge into explicit knowledge Address the philosophy of Lifelong Learning Underline - adults learn what is meaningfull for them to learn - meaningfull learning gives self-esteem identity and recognition
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
Thank you for your attention
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
References
Institute for Healthcare Improvement (IHI) Cambridge Massachusetts httpwwwihiorgihiabout
10 Powerful Ideas for Improving Patient Care Book 4Bisognano M Conway J with Schummers DChicago Illinois Health Administration Press with the Institute for Healthcare Improvement 2008
Breakthrough method an evidence based method for change of practice inhealth care (2007 Oct 24298(16)1937-9The science of large-scale change in global healthMcCannon CJ Berwick DM Massoud MRInstitute for Healthcare Improvement Cambridge MA 02138 USA - jmccannonihiorg
httpknudramianpbworkscomMereLiv
Gode hverdage Et bidrag til diskussionen om kvalitet i aeligldreplejen (2010 May 2(26)17-19Ramian et alGerontologi Dansk Gerontologisk Institut Koslashbenhavnildgeroninstdk
