Patient experience and reflective learning (PEARL): a mixed methods protocol for staff insight development in acute and intensive care medicine in the UK.

Brookes, Olivia and Brown, Celia and Tarrant, Carolyn and Archer, Julian and Buckley, Duncan and Buckley, Lisa Marie and Clement, Ian and Evison, Felicity and Gao Smith, Fang and Gibbins, Chris and Hayton, Emma and Jones, Jennifer and Lilford, Richard and Mullhi, Randeep and Packer, Greg and Perkins, Gavin and Shelton, Jonathan and Snelson, Catherine and Sullivan, Paul and Vlaev, Ivo and Wolstenholme, Daniel and Wright, Stephen E and Bion, Julian (2019) Patient experience and reflective learning (PEARL): a mixed methods protocol for staff insight development in acute and intensive care medicine in the UK. BMJ open, 9 (7). e030679. ISSN 2044-6055.

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Abstract

INTRODUCTION

Patient and staff experiences are strongly influenced by attitudes and behaviours, and provide important insights into care quality. Patient and staff feedback could be used more effectively to enhance behaviours and improve care through systematic integration with techniques for reflective learning. We aim to develop a reflective learning framework and toolkit for healthcare staff to improve patient, family and staff experience.

METHODS & ANALYSIS

Local project teams including staff and patients from the acute medical units (AMUs) and intensive care units (ICUs) of three National Health Service trusts will implement two experience surveys derived from existing instruments: a continuous patient and relative survey and an annual staff survey. Survey data will be supplemented by ethnographic interviews and observations in the workplace to evaluate barriers to and facilitators of reflective learning. Using facilitated iterative co-design, local project teams will supplement survey data with their experiences of healthcare to identify events, actions, activities and interventions which promote personal insight and empathy through reflective learning. Outputs will be collated by the central project team to develop a reflective learning framework and toolkit which will be fed back to the local groups for review, refinement and piloting. The development process will be mapped to a conceptual theory of reflective learning which combines psychological and pedagogical theories of learning, alongside theories of behaviour change based on capability, opportunity and motivation influencing behaviour. The output will be a locally-adaptable workplace-based toolkit providing guidance on using reflective learning to incorporate patient and staff experience in routine clinical activities.

ETHICS & DISSEMINATION

The PEARL project has received ethics approval from the London Brent Research Ethics Committee (REC Ref 16/LO/224). We propose a national cluster randomised step-wedge trial of the toolkit developed for large-scale evaluation of impact on patient outcomes.

Item Type: Article
Subjects: WB Practice of medicine > WB400 Intensive care
Divisions: Clinical Support > Critical Care
Related URLs:
Depositing User: Mr Philip O'Reilly
Date Deposited: 02 Aug 2019 13:08
Last Modified: 02 Aug 2019 13:08
URI: http://www.repository.uhblibrary.co.uk/id/eprint/2270

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