Patient experience and reflective learning (PEARL): a mixed methods protocol for staff insight development in acute and intensive care medicine in the UK

BROOKES, Olivia, BROWN, Celia, TARRANT, Carolyn, ARCHER, Julian, BUCKLEY, Duncan, BUCKLEY, Lisa Marie, CLEMENT, Ian, EVISON, Felicity, SMITH, Fang Gao, GIBBINS, Chris, HAYTON, Emma, JONES, Jennifer, LILFORD, Richard, MULLHI, Randeep, PACKER, Greg, PERKINS, Gavin, SHELTON, Jonathan, SNELSON, Catherine, SULLIVAN, Paul, VLAEV, Ivo, WOLSTENHOLME, Daniel, WRIGHT, Stephen E and BION, Julian (2019). Patient experience and reflective learning (PEARL): a mixed methods protocol for staff insight development in acute and intensive care medicine in the UK. BMJ OPEN, 9 (7), e030679.

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INTRODUCTION: Patient and staff experiences are strongly influenced by attitudes and behaviours, and provide important insights into care quality. Patient and staff feedback could be used more effectively to enhance behaviours and improve care through systematic integration with techniques for reflective learning. We aim to develop a reflective learning framework and toolkit for healthcare staff to improve patient, family and staff experience. METHODS & ANALYSIS: Local project teams including staff and patients from the acute medical units (AMUs) and intensive care units (ICUs) of three National Health Service trusts will implement two experience surveys derived from existing instruments: a continuous patient and relative survey and an annual staff survey. Survey data will be supplemented by ethnographic interviews and observations in the workplace to evaluate barriers to and facilitators of reflective learning. Using facilitated iterative co-design, local project teams will supplement survey data with their experiences of healthcare to identify events, actions, activities and interventions which promote personal insight and empathy through reflective learning. Outputs will be collated by the central project team to develop a reflective learning framework and toolkit which will be fed back to the local groups for review, refinement and piloting. The development process will be mapped to a conceptual theory of reflective learning which combines psychological and pedagogical theories of learning, alongside theories of behaviour change based on capability, opportunity and motivation influencing behaviour. The output will be a locally-adaptable workplace-based toolkit providing guidance on using reflective learning to incorporate patient and staff experience in routine clinical activities. ETHICS & DISSEMINATION: The PEARL project has received ethics approval from the London Brent Research Ethics Committee (REC Ref 16/LO/224). We propose a national cluster randomised step-wedge trial of the toolkit developed for large-scale evaluation of impact on patient outcomes.

Item Type: Article
Collaborator - Bec, Remi [0000-0003-0544-5095]
Additional Information: Remi Bec was a member of the Pearl Collaboration project group.
Uncontrolled Keywords: behaviour change; empathy; medical care; patient experience; quality improvement; reflective learning; staff experience; On-behalf-of the PEARL Collaboration; 1103 Clinical Sciences; 1117 Public Health and Health Services; 1199 Other Medical and Health Sciences
Identification Number:
Page Range: e030679
SWORD Depositor: Symplectic Elements
Depositing User: Symplectic Elements
Date Deposited: 24 Jul 2020 15:45
Last Modified: 03 May 2023 02:08

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