Dementia Health and Social Care Stakeholder Event Programme: Looking Back and Moving Forward Dementia it s everyone s business Table 3 Sue Clarke South Eastern Hants CCG / Health Education Wessex
Table Host - Sue Clarke Sue is currently leading a non-medical workforce development project. The patient context of this project is frailty and long term conditions. Before commencing the post of project lead Sue was a Senior Nurse in the Learning and Development Department at Portsmouth Hospitals Trust. In this post Sue led on the dementia education across the Trust, developing and implementing a Trust wide dementia training plan. Sue also undertook a Health Education Wessex / Health Education Thames Valley Francis Fellowship in Clinical Simulation (dementia). This is where the DEALTS (dementia education and learning through simulation) resource originated
Dementia work stream of Table Host Dementia Education and Learning through Simulation (DEALTS) course.
Particular issues that were being addressed in this work stream and how they were addressed - 1 The DEALTS course was developed as part of a Francis Fellowship in Clinical Simulation. The main purpose of the fellowship was to use simulation training to help build a culture of improved outcomes for both the patient and the clinician. The DEALTS course addressed this issue by using baseline data to develop an educational package using simulation and learning conversation as a delivery tool. The baseline data was generated through a thematic and pareto analysis of datex incident data related to dementia, and of relevant national documents (Alzheimer s Society 2009; Skills for Health 2010a, 2010b).
Particular issues that were being addressed in this work stream and how they were addressed - 2 Alzheimer s Society. (2009). Counting the cost Caring for people with dementia on hospital wards. London: Alzheimer s Society Skills for Health. (2010a). Working to support the implementation of the National Dementia Strategy Project Scoping Study Report. Bristol: Skills for Health. Skills for Health (2010b). Working to support the implementation of the National Dementia Strategy Project Mapping Existing Accredited Education/Training and Gap Analysis Report. Bristol: Skills for Health
Evaluation or impact assessment undertaken -1 The project used Kirkpatrick s evaluation theory (Kirkpatrick 1994) to analyse the impact of the educational intervention. Level one evaluation data was measured using an on-the-day evaluation. This data showed that participants overall experience of the DEALTS course was positive (figure 1) and that new learning took place (figure 2). Level two evaluation data was measured using a pre and post knowledge questionnaire (figure 3).
Evaluation or impact assessment undertaken - 2 The total knowledge score of each candidate was calculated and compared to the maximum score (31). Pre-test knowledge scores ranged from 8 to 28, while the post-test scores ranged from 18 to 31. A resource has been included in the DEALTS course to measure level three data through work based competency assessment. Kirkpatrick, D. L. (1994). Evaluating training programs: The four levels. San Francisco: Berrett-Koehler.
Figure 1: Overall Experience of the DEALTS course
Figure 2: Learning Experience of the DEALTS course
Figure 3: Pre and Post Knowledge Questionnaire
Consideration of future plans for this work The DEALTS course was initially delivered across Health Education Wessex and Thames Valley organisations. A recent initiative has been the development of a DEALTS train-the-trainer course which aims to equip local dementia and / or simulation education staff with the skills, knowledge and resources to provide the DEALTS course locally. Currently DEALTS is being rolled out across Health Education England s LETBs using this train the trainer model.
For discussion..
For more information Email address: susan.clarke17@nhs.net