Focus - The best laid care plans

Up-to-date, client-focused care plans are invaluable tools for the addiction nurse and indeed all nurses and midwives, write a HSE addiction services team from Dublin

Through developing and providing effective and sustainable services the Addiction Services in the HSE-South Western Area endeavour to promote healthy options for individuals, families and communities working in a partnership approach with clients and fellow service providers.1

There are currently 28 clinics, 2,418 clients and 15 nurses in the South Western Area of the HSE Addiction Services Dublin Mid Leinster.

It is accepted in nursing practice that nursing care is communicated and recorded as part of the client’s care and treatment.2 An individual nurse/midwife must establish and maintain accurate clear and current client records within a legal, ethical and professional framework.3

Addiction treatment clients often suffer from secondary health and psychosocial problems at the time of their entry into treatment,4 thus necessitating the use of appropriate documentation.

Care planning is the process of setting goals and interventions based on needs identified by an assessment and planning how to meet these goals with the client.5 The Care Plan Committee for the HSE Community Addiction Services Dublin Mid-Leinster reconvened in February 2007.

Improvements
The aim of the Care Plans Committee was to review the existing care plans that have been in place since 2003. The first step to care planning is accurate and comprehensive assessment.6 The existing care plans did not have an assessment form; therefore a form incorporating socio-demographics, physiological, physical and psychological profiles was created. It was felt by nurses working within the service that a more comprehensive and less time consuming system of planning care was required.

The aim of the committee was to provide clients and nurses in the Community Addiction Services with up-to-date efficient and user friendly care plans based on a client focused nursing model.

Intervention
Several models of nursing were reviewed including Roper Logan and Tierney’s model of nursing, the Tidal Model and Roy’s Adaptation model of nursing.

Nurses act to promote their client’s level of adaptation during health and illness by way of the nursing process,7 so it was agreed that Roy’s Adaptation Model of Nursing was the model that would meet the service needs of the nursing department. This model8 defines nursing as a healthcare profession that focuses on human life processes and patterns and emphasises promotion of health for individuals, families, groups and society as a whole.

Changes
The care plan committee took a number of steps prior to launching the care plans:

The ‘go live’ date for the care plans was February 8, 2008. A review was begun in May with a pilot feedback questionnaire and a documentation audit was carried out in August 2008.

Feedback questionnaire and audit results
A feedback questionnaire was distributed to nurses asking them what they liked, disliked and what changes they would make. Thirteen nurses were sent questionnaires and six questionnaires were returned (46.15%) (See Table 1).

Feedback questionnaire results
 
Likes   Dislikes
Very clear   A lot of repetition
Short   Assessment form very long
Appointments list    
Good for nurses not psych trained    
Easy to use    
Diagrams very thorough    
Client goal section    

An Bord Altranais3 gives specific guidelines regarding recording clinical practice. The documentation audit was carried out bearing these guidelines in mind. Topics such as signing, dating and error recording were audited. The results were then compared with the results of the 2007 documentation audit (See Table 2).

Documentation audit
Question 2007 2008 Comment
Are all entries made in black ink? 44.44% 50% 5.6% Improvement
Is each entry dated? 63.3% 87.73% 24.43% Improvement
Is each entry timed? 29% 2.84% 26.16% Disimprovement
Is each entry signed? 73.6% 81.14% 7.54% Improvement
Are all entries placed closely together? 97.2% 56.6% 40.6% Disimprovement
Are all errors crossed out in a straight line? 4.6% 12.26% 7.66% Improvement
Are all errors signed? 4.6% 5.655% 1% Improvement
Are signatures made in full (no initials)? 37.76% 24.5% 13.26% Disimprovement
Is there an index of initials and signatures? 100% 100% No Change
Are records up to date? 100% 100% No Change
Are new staff added to the signature index within 1 week ? 100% 100% No Change
Is the status of the person recorded? 21.9% 31.1% 98.2% Improvement

The results of the audit along with an education session on documentation were presented at the monthly nurses meeting and a nursing policy regarding documentation of client care was implemented.

Quality client focused care
National and international evidence consistently shows that good quality drug treatment is highly effective in reducing illegal drug use and improving the health of drug misusers.9

The overall feedback from the questionnaire was positive, with nurses citing that the care plans were clear, concise and more client focused. The assessment form was seen as an ‘excellent’ addition to the nursing care plans.

The documentation audit showed a general improvement in how nurses record client care, and also showed some areas of weakness. It is hoped that the introduction of a nursing documentation policy and the provision of an education session will address these weaknesses.

The Care Plan Committee will continue to review and audit the care plans on an annual basis. The quality of records maintained by nurses and midwives is a reflection of the quality of care provided by them to patients.3

Rose Sheppard is a CNMII, Stephanie Maloney, Maura Maye, and Julie Ward are staff nurses, and Noreen Geoghegan is assistant director of nursing at the Addiction Services, HSE-Dublin Mid-Leinster, Cherry Orchard Hospital, Ballyfermot

References

  1. Health Services Executive – South Western Area. Mission Statement. Addiction Services Inventory of Policies and Procedures. HSE: Dublin, 2004
  2. An Bord Altranais. The Code of Professional Conduct for Each Nurse and Midwife. 2nd Ed. An Bord Altranais: Dublin, 2000
  3. An Bord Altranais. Recording Clinical Practice Guidelines. 1st Ed. An Bord Altranais: Dublin, 2002
  4. Pringle JL, Emptage NP, Hubbard RL. Unmet needs for comprehensive services in outpatient addiction treatment. J Substance Abuse Treat 2006; 30: 183-189.
  5. National Treatment Agency for Substance Misuse. Care Planning Practice Guide. National Treatment Agency for Substance Misuse: London, 2006
  6. Fox HF. What is a Care Plan? 2008 www.careplans.com
  7. Villareal E. Using Roy’s Adaptation Model When Caring for a Group of Young Women Contemplating Quitting Smoking. Public Health Nursing 2003; 20(5): 377-384.
  8. Roy Sr C, Andrews HA. The Roy Adaptation Model. 2nd Ed. Appleton & Lange; Stamford, CT, 1999
  9. National Treatment Agency for Substance Misuse. Models of Care for Treatment of Adult Drug Misusers: Update 2006. National Treatment Agency for Substance Misuse: London, 2006

Acknowledgements
The authors wish to thank Martina McGuinness, nurse practice development co-ordinator HSE Dublin Mid-Leinster for her assistance with the documentation audit. We would also like to thank Paul Ramsey, Andrew Rodger, Patricia Carroll – administration and the staff nurses working in the addiction services for all their invaluable assistance throughout this process


 Focus - The best laid care plans

 


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