Transcription
Final Report of the Evaluation of the Introduction of SchwartzRounds in IrelandFull Report May 2019
Final Report of the Evaluation of the Introduction of SchwartzRounds in IrelandFull ReportMay 2019Authors: Dr Vivienne Brady, Dr Peter May, Dr Richard Lombard-Vance, Dr GeralynHynes and Dr Margarita Corry, Dublin, The University of Dublin, Trinity College Dublin.Evaluation Team (Names): Prof Geralyn Hynes, Dr Margarita Corry, Dr Vivienne Brady,Dr Peter May and Dr Richard Lombard-Vance, Dublin, The University of Dublin, TrinityCollege Dublin.This report may be cited as follows: Brady, V. May, P. Lombard-Vance, R. Hynes, G.and Corry, M. (2019). Evaluation of the Introduction of Schwartz Rounds in Ireland,Health Services Executive, Dublin, Ireland.This independent evaluation is funded by the National Quality Improvement Team(formerly Quality Improvement Division, Health Service Executive (HSE)).Published online and available on: 27 May 2019ISBN: @TCD agement.ie@NationalQI
EVALUATION OF SCHWARTZ ROUNDS IN IRELANDTable of ContentsAcknowledgements:. iConflict of interest statement:. iAbbreviations . iiGlossary . iiiChapter One: Executive Summary . 11.1 Introduction . 11.2 Context and Background. 11.3 Aim and Objectives . 21.4 Methodology and Design Evaluation Framework. 31.4.1 Sampling. 31.4.2 Data collection . 31.4.3 Data Analysis . 31.4.4 Ethical Issues . 41.4.5 Validity, Reliability and Rigour . 41.5 Findings and Results. 41.5.1 Findings in Response to Key Question 1 . 51.5.2 Findings in Response to Key Question 2 . 51.5.3 Findings in Response to Key Question 3 . 71.5.4 Findings in Response to Key Question 4 . 71.6 Discussion of the Findings and Results . 81.7 Conclusion . 101.8 Key Learnings Arising from the Findings of this Evaluation . 101.9 References for Chapter one: Executive Summary . 142 Chapter Two: Introduction. 152.1 Introduction . 152.2 Background . 15
EVALUATION OF SCHWARTZ ROUNDS IN IRELAND2.3 References for Chapter Two . 173 Chapter 3, Schwartz Rounds: The Journey to Date in Ireland . 183.1 Introduction . 183.2 Drivers for Choosing Schwartz Rounds . 193.3 Expectations of Schwartz Rounds . 193.4 Funding and introduction process . 203.5 References for Chapter Three . 224 Chapter 4 Literature Review . 234.1 Introduction . 234.2 Search Results . 234.3 Overall Evaluations of Schwartz Rounds . 244.4 Psychosocial Aspects of Health Care Provision. 254.5 Interpersonal Understanding, Relationships, and Teamwork . 264.6 Personal Impact of Schwartz Rounds: Self-understanding, Stress, and Coping . 284.7 Influence on Policy and Practice . 314.8 Implementation of Schwartz Rounds. 314.9 Limitations. 324.10 Conclusion . 344.11 References for Chapter Four . 355 Chapter Five Evaluation Design and Methods . 385.1 Introduction . 385.2 Aim . 385.3 Evaluation framework . 395.4 Eligibility criteria. 395.5 Ethical approval. 395.6 Access and recruitment methods . 395.7 Ethical Dimensions . 405.7.1. Informed Consent . 40
EVALUATION OF SCHWARTZ ROUNDS IN IRELAND5.7.2. Anonymity and Confidentiality . 405.8 Data Collection Methods . 425.8.1. Data Collection – Quantitative Arm . 425.8.2 Data Collection – Qualitative Arm (two elements): . 445.8.3 Data Collection – Cost estimates . 445.9 Data Analysis Methods . 455.9.1. Stage 1. 455.9.2 Stage 2. 465.10 Rigour . 465.11 References for Chapter Five. 486 Chapter Six Results and Findings . 496.1 Introduction . 496.2 Section 1 ProQOL Scales, anonymous staff feedback forms and comment cards results. 496.2.1: Results from anonymous staff feedback forms . 506.2.2: ProQOL Results . 566.2.3 Association between attendance and ProQOL scores . 606.3 Section 2: Interview and anonymous feedback from data . 616.3.1 Participants: Qualitative Data . 616.3.2 What were the drivers to introducing Schwartz Rounds? . 636.4 Key Question 1 . 646.4.1 Why Schwartz Rounds?. 706.4.2 Factors influencing attendance/non-attendance across groups . 716.4.3 Non-attendance – Schwartz is not for me . 746.4.4 The Spread Effect – new attendees at each meeting . 756.4.5 Embedding Schwartz (Adoption) . 776.4.6 Challenges to Embedding Schwartz Rounds in the Organisation . 786.4.7 Do we need Schwartz Rounds? . 806.4.8 Personnel . 80
EVALUATION OF SCHWARTZ ROUNDS IN IRELAND6.4.9 Other resources . 816.4.10 Perceived support for staff to attend Schwartz Rounds . 826.4.11 Perceived awareness and evidence of reference to Schwartz Rounds across theorganisations . 836.4.12 Operationalising Schwartz Rounds– remaining faithful to the process: . 846.4.13 Conclusion . 866.5 Key Question 2 . 866.5.1 Experience of Attending Schwartz Rounds . 876.5.2 Experience as a panellist . 886.5.3 Pressure to participate in Schwartz Rounds and pressure to be a panellist . 886.5.4 The Impact of Schwartz Rounds Participation . 906.5.5 Safety . 946.5.6 Conclusion .
Francis Report The report that arose from a public inquiry in the United Kingdom, The Mid Staffordshire NHS Foundation Trust Public Inquiry. The inquiry was established to ‘examine the commissioning, supervisory and regulatory organisations in relation to their monitoring role at Mid Staffordshire NHS Foundation Trust between January 2005 and March 2009 [and to] consider why the
