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Publication The experiences of inpatient nursing staff caring for young people with early psychosis(SAGE Publications, 2019-03-05) Thompson, Jessica; Boden, Zoe VR; Newton, Elizabeth K; Fenton, Kelly; Hickman, Gareth; Larkin, Michael; University of Birmingham; London Southbank University; Coventry and Warwickshire Partnership NHS Trust; Leicestershire Partnership NHS Trust; Aston University; Clinical Psychology; Additional Professional Scientific and Technical Field; Newton, Elizabeth K; Hickman, GarethBackground Early intervention services aim to improve outcomes for people with first episode psychosis and, where possible, to prevent psychiatric hospital admission. When hospitalisation does occur, inpatient staff are required to support patients and families who may be less familiar with services, uncertain about possible outcomes, and may be experiencing a psychiatric hospital for the first time. Aims Our study aimed to understand the process of hospitalisation in early psychosis, from the perspective of inpatient nursing staff. We were particularly interested in their experiences of working with younger people in the context of adult psychiatric wards. Methods Nine inpatient nursing staff took part in semi-structured interviews, which were transcribed and then analysed using interpretative phenomenological analysis. Results Five themes are outlined: ‘it’s all new and it’s all learning’; the threatening, unpredictable environment; care and conflict within the intergenerational relationship; motivation and hope; and coping and self-preservation. Conclusions The phenomenological focus of our approach throws the relational component of psychiatric nursing into sharp relief. We reflect on the implications for organisations, staff, families and young people. We suggest that the conventional mode of delivering acute psychiatric inpatient care is not likely to support the best relational and therapeutic outcomes.Publication QI 137 Standardised Preceptorship(Coventry and Warwickshire Partnership NHS Trust, 2024) Reynolds, Grace; Supported by the Quality Improvement Team, Coventry and Warwickshire Partnership Trust; Coventry and Warwickshire Partnership NHS Trust; Education, Learning and Development; Admin and Clerical; Reynolds, GraceAim: To standardise and establish preceptorship across Coventry and Warwickshire Partnership NHS Trust (CWPT) for all newly qualified staff. To begin with what was currently on offer across the Trust was reviewed and then found out what colleagues would like to see within the preceptorship programme. This was compared to other NHS Trusts preceptorship programmes and national guidance to develop our programme. The right stakeholders where involved throughout the project and the sustainability of the project was assessed as the project progressed. The completed Preceptorship study programme launched June 2022 and has evolved using Plan Do Study Act (PDSA) cycles. Tools Used: Project Charter - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-define-your-project-charter.pdf; Driver Diagram - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-driver-diagrams.pdf; Action Tracker - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-develop-your-action-plan.pdf; Stakeholder Analysis - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-stakeholder-analysis.pdf; Sustainability Tool - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-sustainability-model.pdf; PDSA Cycle - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-pdsa-cycles-model-for-improvement.pdf. Project Impact: The trust now offers 12 study days for newly qualified nurses, nursing associates and AHP's through a blended approach of face-to-face and virtual sessions. Preceptees are provided with a portfolio/framework for their preceptorship journey. Signposting to resources in CWPT Support provided for all newly qualified professionals Peer-to-peer support A point of contact for new starters outside the work place.Publication Exploring leadership styles utilised by Advanced Clinical Practitioners to initiate positive change within clinical practice(Keele University, 2022-09) Holland, Joanne; Coventry and Warwickshire Partnership Trust; Nursing and Midwifery Registered; Holland, JoanneThe concept of advanced practice has been developed to not only enhance the capacity and dimension of the healthcare workforce but improve clinical continuity, demonstrate high quality, patient-focused care and provide visible leadership in the hope of shaping organisational culture whilst advocating evidence-based change to continually improve the way healthcare is delivered. Advanced practice is demonstrated across four pillars: advanced clinical practice, education, clinical leadership and management, and research. The focus of this paper is on leadership in a primary care context and will present a reflective account of an Advanced Clinical Practitioner’s journey in initiating a new service within a primary care setting. The paper will define leadership; consider the impacts of existing cultures whilst exploring contemporary leadership styles to determine which best reflects the fundamental values of advanced practice and therefore most appropriate to apply when initiating change. It will conclude on the purpose and value of reflective practice in this health care context, building on the personal experiences of the author.