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Presentation to the BCPSQC Quality Forum
March 2, 2017
Peter Gill, RN, Nurse Manager, Acute ER, Maternity & Oncology -
Kitimat General Hospital
Lee Cameron, MPH, Specialist Service Committee Coach, NW
Jeanette Foreman, MPH, NW Quality Improvement Lead
Brief Action Planning Leads to Patient-Centred Goals in
Acute Care
Our Context
Kitimat General Hospital
18 inpatient beds
NW orthopedic surgical
site
Ambulatory cancer care
Our Aims
As part of a “Rehabilitative Care Approach” -- to
support patients to be meaningfully involved in
setting goals for care
Re-invigorate use of patient room whiteboards
Intervention: Brief Action Planning
A structured, stepped-care, self-management
support technique based on Motivational
Interviewing and behavior change theory and
research (Gutnick et al 2014)
Based on the principles of Compassion,
Acceptance, Partnership and Evocation
It provides a clear stepped algorithm for working
with a person and coaching them to develop
goals and plans to achieve them
Training and certification facilitated by Northern
Health in collaboration with Centre for
Collaboration, Motivation and Innovation (CCMI)
Assumptions that were made
B.A.P. would not be able to be implemented in
an acute environment
Outcome: Patient Empowerment
Example Goal
Example Goal
Outcome: Provider Satisfaction
KGH CNE, Natosha Correia, KGH acute care nurse Barb Duff,
acute care nurse Shantel Pritchard
Note the example of a patient’s goals and plans to achieve them
Team Huddle
Lessons Learned
Testing our training delivery approach was
critical in acute care environment
Took 4-5 attempts
Staff attitude turned around once they saw huge
positive response from patients
Be nimble, responsive, flexible yet keep fidelity
to CCMI training
Peer mentorship helped
Challenges
Introducing to physicians – barriers to training
Coordination and extending to all
interprofessional team members
Summary
We saw the value of using an
established tool to support patient-
centred goals
We adapted it to our context
We had overwhelming positive
response
Patients are empowered
Staff feel good - meeting goals
It is now a part of the care culture
For further information
Peter – [email protected]
Lee – [email protected]
Jeanette – [email protected]
Centre for Collaboration, Motivation, and Innovation:
http://www.centrecmi.ca/
References
Gutnick D, Reims K, Davis C, Gainforth H, Jay M, &
Cole S. (2014). Brief Action Planning to Facilitate
Behavior Change and Support Patient Self
Management . Journal of Clinical Outcomes
Management, 21 (1), 17-29.
