Modern MatronQuality Service Nurse 1st Year Evaluation Report

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Modern Matron/Quality Service Nurse1st Year
Evaluation Report

• Hilary McCallion - Director of Nursing
  Education
• Elaine Rumble - Deputy Director of Nursing

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Health Service Circular guidance document (2001)
described the matron as

• a strong clinical leader with clear authority at
• ward level who is highly visible, accessible and
  easily
• identifiable by patients and has real authority
• to ensure that the basics of care are correct

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The Three Main Strands

• Securing/assuring the highest standards of
  clinical care by providing leadership to the
  professional and direct care staff within a
  specific area.
• Ensuring that the administrative/support services
  are designed and delivered to achieve the highest
  standards of care.
• Provide visible, accessible and authoritative
  presence in the ward setting to whom patients and
  their families can turn for assistance, advice
  and support.

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Trust Perspective

• Introduced 2001.
• Many concerns raised.
• Trust Executive requests services to consider
  implementation plans.
• Mixture of new posts i.e. Southwark, Addictions
  and Learning Disabilities.
• Re-focussed posts - Lewisham, Lambeth.

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Users/Carers/Partners Views

• Partnership Time event held September 2001,
  focussed on developing aspects of the NHS Plan
• Matron or Patron title preferred.
• Some of the priorities identified for the role
  were
• Patient care
• Food
• User needs
• Complaints
• Getting the job done
• Initiative required extra funding.

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Evaluation Process

• Involved Two Phases-
• Phase 1 Distribution of 16 self assessment
  forms, of which 13 were returned 81.25
• Self assessment form - four sections
• Securing Assuring the Highest Standards of
  Clinical Care
• Ensuring/Improving the Patient Environment
• Supporting Ward Managers/Clinical
  Leaders/Clinical Staff
• Supporting Service Users Carers
• Phase 2 Comments were sought from Service
  Directors and Service/Ward Managers

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Comments by Managers

• acts as a catalyst between nursing and medical
  staff, in particular to ensure good working
  practices are put in place
• having a strong focus on the environment has
  brought about real improvements. Staff are
  becoming more aware of the importance of the
  environment and are less passive about trying to
  address issues
• provides immediate support to front line
  staff. Staff feel more confident having support
  from a senior, experiences nurse on site

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• maintains a high, independent profile within
  wards
• huge benefit in the management of potential
  and actual complaints
• keeps the idea that the service should be
  patient centred
• much of the strength of the role relates to
  the individuals credibility with nursing
  colleagues

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Summary

• Various approaches to the role adopted
• Most impact is being made around Standard 3 -
  (Supporting Ward Managers/Clinical Leaders/
  Clinical Staff).
• Environmental improvements relate to staffs-
• engagement with support services
• increased interest/responsibility
• Clinical standards have improved, but more work
  is required in relation to audit and benchmarking

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• A positive impact on the complaints process has
  been noted due to-
• local resolution
• patient centred approach
• The individuality of the post holder was seen as
  key to the roles success
• More work with carers is required

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Recommendations

• To repeat the evaluation next year.
• To obtain the views of service users and carers
  regarding the impact of the Modern Matron/QSN
  role.
• The engagement with carers needs to be improved
  through formal/informal methods.
• Each Modern Matron/QSN to develop and action plan
  to improve their self assessment scores.