kate martin - me first pen events
TRANSCRIPT
Me firstKate Martin & Joanna Reid
Join the
#CYPMefirst conversation
Kate @_common_room
Joanna @jo_ _reid
Funded by HENCEL to improve the health outcomes for children and young
people by enhancing the knowledge, skills and confidence of healthcare
professionals in communicating with children and young people.
Primarily designed for healthcare professionals who work with children and
young people clinically but who do not have specific paediatric training.
Initial scope was to focus on CYP aged 8-18 years with a plan to expand to
include delivery of effective communication strategies for children and young
people with:
• physical or learning disabilities,
• sensory impairment,
• sight or hearing problems, and
• younger children.
Background to Me first
Endorsed by:
With thanks to: • Birmingham Children’s Hospital Young Peoples Advisory Group (YPAG)• Common Room Consulting Young Advisors• Young People East & North Hertfordshire NHS Trust• Dr Cathy Street & Associates• Evidence Based Practice Unit• Nutshell Communications• Contra
We have worked in partnership with children, young
people and healthcare professionals to develop:
• The Me first communication model
• A one day masterclass
• A website, short films and online resources
• Top tips from healthcare staff and young people
What is Me first?
Why do we need to improve
communication?
Film: hearing from young people
I should be the one involved in
decisions about my health because
I’m the one feeling the pain, no one
else, no one else knows what I’m
feeling, not them.
CYP
CYP say:
They always speak to
my mum. They should
speak to me directly.
(CYP)
• That communication is often between
healthcare staff and parents
• That communication with CYP is often limited
to ‘social talk’ and non-health related issues
• They are less involved in making choices and
decisions, or discussions about treatment
• They are not asked how things should
happen
• Adults use complex language
• Being assertive, knowledgeable, or asking
questions can be misread as being difficult or
challenging
• They are often not seen as being responsible
by their parents or healthcare professionals
• That the focus on their condition rather than
them as a person
• CYP can find it difficult to remember what was
said, to understand their treatment, or what
they need to do next.
CYP say:
It makes you feel like you are
a project, well to me it makes me feel
like a project. If there’s all these
professionals sat around talking about
you and making decisions about what’s
going to happen to you, it makes me
feel like a project.
CYP
#CYPMefirstmefirst.org.uk
Use a step by step,
structured framework of
how to speak to young
patients… but not like a
robot. (CYP)
Me first is not about
basic communication
skills
It is about:
• bringing children and young people into the
conversation about their healthcare
• involving children and young people in choices and
decisions
• building on the existing skills and expertise of
healthcare professionals
• focusing on the small, practical changes that can
make a big difference
What difference
can CYP centred
communication make?
If they’re listening to my
parents then they’re not
getting an accurate judgement
on how I’m feeling at that
current time. (CYP)
• Enables CYP to ‘know and understand’ and to feel ‘heard and understood’
• Respects CYPs right to make choices and decisions about their care and body
• Enables CYP to feel more in control, develop a sense of ownership of their health or condition, and increases treatment adherence
• Develops trust and cooperation, and reduces fear, anxiety and resistance
What difference
can CYP centred
communication make?
• Minimises conflict between CYP, parents and healthcare professionals
• Improves patient safety, earlier detection of problems, and can prevent HCP from missing vital information
• Encourages help-seeking behaviour – poor communication can prevent CYP accessing healthcare
• Shared decision-making and person-centred care can improve health outcomes
You see 30 people in a
day. We see 1 person.
So you’re going to leave
your mark on us. (CYP)
INCLUDE IMAGE OF THE Me first MODEL HERO PIECE
Picture of top tips section of the website??
The resource hub
• a free one-day masterclass for those employed in Health Education NCEL
• bespoke in-house training for specific teams
• group bookings for other CCGs or LETBs
The course is multi-professional and benefits from the diversity of roles and backgrounds that participants have.
The masterclass is co-delivered with young people.
The masterclass builds on participants’ existing skills and is aimed at all healthcare professionals including:
practice nurses, GPs, A&E staff, school nurses, staff nurses, doctors, dentists,
pharmacists, social workers, allied health professionals, radiographers and
patient facing healthcare scientists such as audiologists, physiologists and
ophthalmologists.
Training options available
TrainingProfessional breakdown
49%
16%
10%
16%
9%Nursing
Medical
Allied healthprofessionals
Psych/play/socialworkers
Healthcare scientists
Outcomes and impact: How Me first
has changed behaviour
• 100% of professionals interviewed took something
away from the masterclass that they were now using
in their practice to make care more collaborative and
young person centred
• Progress towards goals was generally positive
majority either ‘A lot’ or ‘Quite a bit’.
Positive initial findings
- each item is scored 1 (Not at all) to 7 (to a very great extent)- higher scores on each of the four subscales indicate they are engaging with that behaviour to a
greater extent.
The impact of the Masterclass on
communication skills with young people
Kate MartinDirector, Common Room Consulting Ltd. @_common_room [email protected]
Joanna Reid Practice Educator for Nursing & Non-Medical Education, Great Ormond Street Hospital@Jo__reid [email protected]
Joshua JealMe first Project Co-Ordinator, Great Ormond Street [email protected]