2.2 Gaining team buy-in
Introducing Neoflix: Your NICU's Learning and Improvement Hub
Imagine a space where the NICU team comes together to share experiences, learn from one another, and continuously improve care for your tiniest patients. That's the power of Neoflix, a video review initiative built on collaboration and openness.
“In my opinion, a team improves in a way that is not measurable. Through video review, openness within a team is created. Here you can give feedback to each other, which leads to better teamwork.” - Consultant neonatologist
Building Trust: The Key to Successful Video Review in Healthcare
Video review offers incredible potential to improve patient care, but it must be done in a way that fosters trust and respects the healthcare team. Here's how to create a positive, empowering environment:
1. Consent & Transparency: The Foundation of Trust
Clear Communication: Explain how videos will be used, who has access, and make sure patients and staff fully understand. Transparency eliminates uncertainty.
Open Dialogue: Discuss video plans with your team and invite their feedback. Their input shapes a process they feel invested in.
2. Collaboration for Growth, Not Judgement
Shared Learning: Emphasize video as a tool for collective improvement, not finding fault.
Respectful Choice: Opt-in systems allow staff to participate at their comfort level, building confidence.
Video is Powerful, But Not a Cure-All: True progress comes from a blend of tools, including mentorship and open communication.
3. Introducing Video Review: Purpose, Process, Benefits
Explain the Why: Share the vision – skill development and better care within a safe learning environment.
Clear Process: Outline the steps, who has access to videos, and how to voice any concerns.
The Benefits: Video offers objectivity, a broader view of care, and drives improvements in teamwork, quality, and processes.
Resources & Teamwork
Addressing Concerns: Listen actively and provide honest, transparent responses.
Collaborative Spirit: Involve all relevant staff when scheduling reviews. Management support reinforces the initiative's importance.
By putting trust at the center, video review becomes a powerful tool for continuous learning and delivering the best possible care to your patients.
Video review protocol for improving care - SAMPLE
INTRODUCTION Video review offers a valuable tool for reflection and improvement in emergency or intensive care settings. This protocol outlines its implementation. GOAL Enhance quality of care through video review as an educational tool. Improve both technical and non-technical skills during emergency interventions.
PLANNING PREBRIEFING
Pre-briefing:
Management informs staff (nursing & medical) about the pilot program, emphasizing a safe learning environment.
Gain staff buy-in through newsletters, handovers, and meetings.
Considerations:
Importance of obtaining consent at all stages.
Maintaining patient privacy.
PROCEDURE
Before Intervention:
Obtain consent from the entire team performing the intervention. (No recording if someone refuses)
Identify a recorder and camera position.
(Optional) Seek verbal consent from patient/family (when only used for quality assurance, not mandatory)
Post-intervention:
Standard post-briefing.
Re-obtain consent for video review (unused if refused)
Recordings stored on a secure server, accessible only to authorized personnel.
Previewing by Caregivers:
Obtain consent for using the video in the review session (unused if refused)
Video Review Session:
Focus: Learning from successes and variations in care.
Duration: Maximum 30 minutes
Timing: 2-3 weeks after the procedure, during nurse handover (inviting medical staff)
POST-REVIEW
Recordings deleted after use.
Lessons learned inform future quality improvement initiatives.
Medico-Legal Issues:
Incidents may be captured.
Legal proceedings may require retaining evidence.
Patient consent not mandatory for quality improvement (GDPR guidelines followed).
All team members consented before/after recording and review. (Patient consent sought when possible).
Legal counsel reviewed the protocol.
Video data deleted after study completion.
Standard practice includes video monitoring of patients in rooms.
Recordings deemed an extension of standard care with patient consent (educational/research purposes).
Informed Consent:
Not mandatory for quality improvement.
Encouraged to obtain verbal consent from patients/families.
Refusal to consent prevents recording.
Triple consent process for caregivers ensures control throughout.
Other considerations:
Hawthorne effect: potential for heightened performance (often positive) due to being observed.
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