Raising quality and safety awareness: Integration of IHI Open School Online Courses in the Nursing Undergraduate Curriculum Eloise Pearson Sandra Hainey Educating for Excellence 27th January 2014

International student community – ‘chapters’ Increase awareness of patient safety and improvement Support student involvement in range of activities Provision of online courses Basic certificate: Patient safety (7) Improvement (6) Person and family–centred care (1) Leadership (1) Quality, cost and value (1) "Because quality and safety aren't electives"

Quality Strategy The Aim “The ultimate aim of our Quality Strategy is to deliver the highest quality healthcare services to people in Scotland, and through this to ensure that NHS Scotland is recognised by the people of Scotland as amongst the best in the world. This aim will be achieved by working from the bottom up…” (Scottish Government 2010 p.21)

Core ‘Clinical governance’ in nursing curriculum Core ‘Clinical governance’ in nursing curriculum Extra- curricular IHI Open School – Chapter activities Extra- curricular IHI Open School – Chapter activities 2011 Core - Integration of IHI courses - All nursing students - Field specific tutorials - Mapped with KSF Core - Integration of IHI courses - All nursing students - Field specific tutorials - Mapped with KSF

Drivers… Publication of NHS Scotland Healthcare Quality Strategy (Scottish Government 2010) Emphasis shifting from clinical governance to quality and safety Need to build capacity and capability across the profession Need to capture all students Opportunities… New curriculum due in September 2011 Introduction of portfolio based on KSF ‘Shared’ modules available Found a natural ‘home’ Management and staff support

IHI Support Courses developed and reviewed by internationally renowned experts in quality and safety Direct registration with IHI Discussion forums Technical support Local Support Two nursing faculty advisors Initial guidance and support for registration Local VLE discussions boards Field-specific staff engagement A straightforward process that includes:

Year 1 2 Quality Improvement 2 Patient Safety 1 Leadership 1 Person & Family Centred Care No. hours – 7 hrs. 15 mins. Shared lecture Field specific tutorials No. hours – 5hrs KSF component - IHI certificates - Cleanliness Champion units Year 2 2 Quality Improvement 3 Patient safety No. hours – 5hrs. 50 mins. Shared Lecture Field specific tutorials No. hours – 5hrs. KSF component - IHI certificates - Service improvement focus Year 3 3 Quality Improvement 2 Patient safety 1 Quality Cost & Value No. hours – 9hrs. 30min Shared Lecture Field specific Tutorials No. hours – 6hrs KSF component - IHI certificates - Improvement activity

Not all change is improvement …but this one is! The integration has: allowed a shift in emphasis of student learning which is more clearly in line with the current quality agenda enabled a well-structured, embedded and sustained approach to the teaching of quality and patient safety resulted in increased student enthusiasm for quality and safety - recently evidenced by ~60 of our students attending a conference focussed on patient-centred care promoted shared learning across the different nursing fields and embraced by a widening group of academic staff involved in facilitating tutorial sessions allowed us to be one of the first UK Schools to embed the courses throughout all our undergraduate curricula

Benefits to students Accessing world-class learning resources developed by international leaders in quality and patient safety Anecdotal evidence (during tutorial sessions) shows students demonstrating much greater knowledge, practical application and recognition of the relevance of quality and safety activities They will graduate with : the IHI Open School Basic Certificate evidence of their knowledge and skills in quality and patient safety through their personal and professional portfolio which is closely aligned with the KSF