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.

Invest time in explaining video review with complete transparency, emphasizing its collaborative, learning-focused purpose. Engage your team with honest dialogue, seeking their input, and clearly establish the voluntary nature of participation. Reaffirm that the goal is improvement, not judgment.

These actions will foster a sense of trust, leading to greater willingness to participate in video review. Providers will feel heard and valued, resulting in open communication and a shared commitment to improvement. With reduced anxiety, the review process will generate better insights and more actionable solutions for enhanced patient safety.

If you don't prioritize transparency, collaboration, and respect for voluntary participation, you risk creating an environment of distrust and apprehension around video review. Providers might feel that the process lacks clarity or is designed to find fault, leading to resistance and limited participation. Without establishing a non-judgmental atmosphere, anxieties may run high, stifling open communication and the potential for valuable learning. The result could be superficial analysis, ineffective solutions, and a missed opportunity to genuinely improve patient safety.

Resources & Teamwork

• Helpful Tools: Provide supporting articles, presentations, and FAQs.

• Defined Roles: Establish who manages videos, chairs reviews, etc., including a mix of disciplines for a well-rounded team.

• Provider Control: Voluntary participation and consent at multiple stages keeps providers in control of their participation.

• 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.

---

The following protocol is an example that can be used to get management permission for implementing a video review pilot program:

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.

The following presentation is a sample presentation that can be used to present video review to your team.

14MB

Presentation for introducing Neoflix to your team.pptx