Insights on SHRINE Learning Set and Staff Survey Results

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Explore the recent SHRINE Learning Set agenda covering staff feedback, driver diagrams, and team clinics feedback, complemented by demographic insights and the staff survey results on knowledge, confidence, experience, and patient conversations regarding sexual and reproductive health.


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  1. SHRINE Learning Set 1 20 July 2022

  2. Agenda Time Item 14:00 Welcome and introductions 14:10 Staff feedback results 14:15 Driver diagram 14:30 Feedback from teams on initial clinics 14:55 Next steps

  3. Housekeeping Please mute your microphone unless you are speaking If you would like to ask a question or make a comment, please use the raise hand function. You can also use the chat. If you experience any technical difficulties, please email edward.barrett@rcpsych.ac.uk

  4. SHRINE Staff Survey - Preliminary Results

  5. Demographics 30 staff members responded to the survey Other 17% Support Worker 13% Nurse 57% Nursery Nurse 13%

  6. Time spent in inpatient mental health services How long have you worked in inpatient mental health services? 35 30 25 20 % 15 10 5 0 Less than 1 year 1-2 years 3-5 years 6-10 years 11-15 years More than 15 years

  7. Knowledge I have a good level of knowledge about sexual and reproductive health 35 30 25 20 % 15 10 5 0 Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree

  8. Confidence I am confident talking to patients about their sexual and reproductive health 50 40 30 % 20 10 0 Strongly agree Agree Neither agree nor disagree Disagree Strongly Disagree

  9. Experience I have a lot of previous experience talking to patients about sexual and reproductive health 45 40 35 30 25 % 20 15 10 5 0 Strongly agree Agree Neither agree nor disagree Disagree Strongly Disagree

  10. Conversations about sexual and reproductive health How often to patients currently initiate conversations with you about their sexual and reproductive health? 50 40 30 % 20 10 0 Daily or more 2-3 times a Weekly Monthly or less Never week

  11. Conversations about sexual and reproductive health How often do you currently initiate conversations with patients about their sexual and reproductive health? 60 50 40 30 % 20 10 0 Daily or more 2-3 times a Weekly Monthly or less Never week

  12. 'Please provide any other comments including anything that you would find helpful in relation to this project, such as additional support or resources' General: The clinic is a great development, the area is really important Practical suggestions: more training, leaflets, information on signposting, running group sessions with patients to discuss sexual and reproductive health Staffing suggestions: have a sexual and reproductive health lead Pre-conceptions: Service users only approach specific members of staff (e.g. RMN), service users don t want to talk about sexual and reproductive health, patients don t respond well to topics about this area

  13. Any questions / comments?

  14. Driver diagram In order to achieve this We need to ensure Ideas to ensure this happens Which requires Change Ideas Ideas to test to move towards your aim Secondary Drivers What would need to be in place to positively influence primary driver? Primary Drivers Big topics that you will need to work on to influence your aim Aim What you want to achieve

  15. Patients on the ward are offered a sexual health assessment at regular intervals SHRINE The delivery of clinics are regularly reviewed and the approach/ environment adapted as needed Referrals to clinic / Delivery of clinics The number of patients that have been offered a sexual health assessment and attended clinics is monitored All eligible patients on participating mental health wards at the Bethlem Hospital receive sexual and a reproductive health assessment Staff training and development Staff supervision and reflective practice Improve staff confidence Staff are skilled and feel safe to have conversations about sexual health with patients The cultural factors / different needs of patients are considered and the approach adapted Normalise conversations on sexual health on the ward Safe spaces for staff and patients to talk about sexual health Promote clinics and sexual health on the ward Sexual health is embedded in physical health assessments

  16. Teams feedback on initial clinics How did the first clinic(s) go? Any changes you will make as a result of learning from the first clinic(s)? Have you started testing any ideas as part of your SHRINE project? Do you have any ideas you would like to test?

  17. Next learning sets. Close and next steps Data collection. Project teams. Next steps.

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