Evidence map›Paper›PMID 39448088›Full record

ArticleBMJ open quality2024

Improving the efficiency and person-centredness of occupational therapy input into care-plans in a forensic mental health and rehabilitation service.

Joshua Jesudunsin Ige Ige, Amanda Alston, Velmer Boreland, Megan Caudwell, Rhiannon Ashbourne, Bronwen Ford, Fortunate Katsere, Georgia Banham

Abstract read
In one paragraph

Article in BMJ open quality, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Joshua Jesudunsin Ige IgeOccupational Therapy, Derbyshire Healthcare NHS Foundation Trust, Derby, Derbyshire, UK joshua.ige@nhs.net.ORCID 0000-0002-1706-5607
Amanda AlstonOccupational Therapy, Derbyshire Healthcare NHS Foundation Trust, Derby, Derbyshire, UK.
Velmer BorelandOccupational Therapy, Derbyshire Healthcare NHS Foundation Trust, Derby, Derbyshire, UK.
Megan CaudwellOccupational Therapy, Derbyshire Healthcare NHS Foundation Trust, Derby, Derbyshire, UK.
Rhiannon AshbourneOccupational Therapy, Derbyshire Healthcare NHS Foundation Trust, Derby, Derbyshire, UK.
Bronwen FordOccupational Therapy, Derbyshire Healthcare NHS Foundation Trust, Derby, Derbyshire, UK.
Fortunate KatsereOccupational Therapy, Derbyshire Healthcare NHS Foundation Trust, Derby, Derbyshire, UK.
Georgia BanhamOccupational Therapy, Derbyshire Healthcare NHS Foundation Trust, Derby, Derbyshire, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Care-planning is vital to the delivery of timely, person-centred, safe and effective care. Despite the understanding of the benefits of person-centred care-plan in both services, occupational therapists (OTs) within our forensic and rehabilitation services had difficulties in inputting into patient care-plan an efficient and person-centred manner.The OT team developed a Quality Improvement (QI) project to improve the efficiency of the OT process to create more time for care-planning and improve person-centredness of OT input into care-plans to 82% in the forensic services and rehabilitation services by December 2023.The results indicated an increase in the person-centredness of care-plans from 63.64% to 84.34% within the rehabilitation service and an increase from 65.15% to 95.45% in the forensic service. This project used feedback from patients to develop our input into care-plans. The project also increased the efficiency of the admission process and released time to be spent on care-planning and treatment.We improved the quality of our input to care-plans in a sustainable way by using the Royal Academy of Improvement sustainability measure and taking actions which included training our band 6 and 7 OTs to complete their monthly audit and reporting this as part of the head of nursing report for assurance in our monthly Clinical and Operational Assurance Team meetings. These actions ensured that our project fitted with the organisation's strategic aims and values. We also used low carbon alternatives by holding most of our improvement meetings online and eliminating the use of paper.Lastly, we improved the generalisability of this project by using the Goal Directed Care Plan audit tool, which is a well-researched, evidence-based tool created by service-users, carers and members of staff. This was used to train members of staff and develop an example of a person-centred input into care-plans to improve their practice.

Indexed as

Occupational TherapyPatient-Centered CareQuality ImprovementHumansMental Health ServicesPatient Care Planningallied health occupationsclinical auditcontinuity of patient carepatient-centred carequality improvement

Identifiers

PMID39448088
PMCPMC11881174

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.