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Schwartz Rounds®
Caroline DancygerClinical Psychologist & Schwartz Round Facilitator
Pan-London Cancer Patient Experience Event 9 July 2014
The case for something different
Cancer Patient Experience Survey
Turnaround = cuts, cuts, cuts
Staff Survey
Supporting staff should be a central driver of strategies to improve:
– patient care– productivity – financial performance
The origins
Kenneth Schwartz
The Schwartz Center for Compassionate Care
Kings Fund
The Point of Care Foundation
What is a Schwartz Round?
A space to reflect on the impact our work has on us– Not about advice giving or problem solving
A panel of speakers present a case/ theme– Each person talks about their experience and the impact the
case had on them
Then the audience joins in – Share reactions to the stories– Ask questions about panel members experiences– Reflect on their own experiences and share stories
The evidence
Leads to changes in staff perceptions– Positive effect on interactions with patients– Enhances participants’ understanding of the perspectives and
challenges of colleagues– Enhances interdisciplinary communication– Improves sense of support– Decreases staff stress and sense of isolation
Recent NIHR funding to measure impact on patients
Schwartz Rounds at Barts Health
Launched in May 2014 at Whipps Cross Hospital
Clinical Lead: Angela Wong
Facilitators: Nichola Kane & Caroline Dancyger
Steering group
The challenges at Barts Health
• Where to start?
• Getting buy-in
• Publicity, Publicity, Publicity!
• Not a quick fix
Feedback so far
• Schwartz Rounds are definitely needed & wanted
• Attendance– >100 staff– Drs, Nurses, AHPs, Social Work, Chaplaincy, Cancer
Information Specialists, A&C, Governance, Education
• 70% evaluations rated it as ‘Exceptional’ or ‘Excellent’
What attendees have said…
Open & honest conversation - rare in this current climate
This was a really good session with open
discussion of a difficult issue
Excellent. Very insightful to see how teams work together
This is an excellent initiative; paying attention to the emotional well being of staff and having time to talk
about the complexity of caring with compassion
It’s a privilege to hear peoples
experiences
I’m not alone!
The future…
• Get more facilitators trained
• Roll out across multiple sites
• How to get nurses off of the wards?
