1. Get enough sleep:

2. Stay hydrated:

3. Exercise regularly:

4. Eat a balanced diet:

5. Practice mindfulness:

6. Connect with others:

7. Set boundaries:

8. Take breaks:

9. Seek support:

10. Practice gratitude:

• 1. What does self-care mean to you? In your groups share your understanding of self-care and how you prioritise it in your daily life.

• 2. What are some common stressors you face as a nursing student? Share the most challenging aspects of your nursing program and how you cope with stress.

• 3. What self-care activities have you tried in the past? Share any self-care activities you've tried, such as exercise, meditation, or spending time with friends. What did you like about them? What didn't you like?

• 4. How do you take breaks during long study sessions or shifts? Share your strategies for taking breaks, such as stretching, deep breathing, or stepping outside. How do you make sure you're not neglecting self-care during these breaks?

  5. What would you like to learn more about self-care from this video? Share what you hope to gain from watching the video and learning about self-care from experienced nurses.

  
  

• After watching the video, students can reflect on the following questions:

  * Did you learn any new self-care strategies from the video?

  * Which self-care tips resonated with you the most?

  * How can you incorporate these strategies into your daily life?

  * What challenges do you face in prioritising self-care as a nursing student?

  * How can you support your peers in practicing self-care?

  
  

• Can we do anything different?
• What advise would you give to the nurses in the video to perform this procedures better?
• Why would you make those changes?

Background: Michael has been under pressure to complete his clinical hours on time and feels overwhelmed by the complexity of this sepsis case. He is also concerned about being seen as incompetent if he asks for help.

Assessment: Michael assesses the situation by recognising that sepsis is a life-threatening condition that requires prompt treatment. He also acknowledges his own limitations in managing such a complex condition.

Recommendation: Michael recommends that he notifies his practice supervisor immediately and requests guidance on how to manage the patient's sepsis. He also suggests that he prioritises accurate documentation of the patient's vital signs and communicates any changes in their condition to their healthcare team.

Professionalism:  How has Michael demonstrated professionalism?

Discussion Questions before watching the video:

1. How do you currently prioritise patient safety in your daily practice? Share your strategies for ensuring patient safety, such as double-checking medication or verifying identity before administering treatments.

2. Have you ever experienced a near miss or an incident while providing care? Share your experience, what happened, and how it was handled. What did you learn from the incident?

3. What do you think is the most significant challenge in maintaining patient safety in healthcare? Share your thoughts on common obstacles, such as staff shortages, inadequate resources, or complex patient needs.

4. How do you currently handle stress and burnout in your practice? Share your coping mechanisms, such as taking breaks or seeking support from colleagues.

Key points from the NHSI Report template:

1. Identify and report near misses: Recognise near misses as opportunities to learn and improve patient safety. Report incidents promptly and thoroughly to identify root causes and implement corrective actions.

2. Implement effective handovers: Ensure clear, concise, and timely handovers between healthcare professionals to prevent misunderstandings and miscommunications that can lead to harm.

3. Prioritise patient-centred care: Focus on providing patient-centred care by involving patients in decision-making, respecting their autonomy, and addressing their individual needs and preferences.

4. Maintain a culture of open communication: Encourage open and honest communication among healthcare professionals to facilitate timely identification and reporting of incidents, and to promote a culture of transparency and accountability.

5. Address burnout and fatigue: Recognize the impact of burnout and fatigue on patient safety and prioritise self-care strategies to mitigate these risks.

Discussion Questions after watching the video:

1. What strategies from the video do you plan to implement in your practice to improve patient safety? Share your thoughts on how you will incorporate effective handovers, patient-centred care, or open communication into your daily practice.

2. How can you prioritise self-care as a health professional to maintain patient safety? Share your thoughts on how taking care of yourself can lead to better patient outcomes and improved job satisfaction.

3. What steps would you take if you witnessed or experienced a near miss or incident during your shift? Share your response to identifying root causes, reporting incidents, and implementing corrective actions.

4. How can we create a culture of open communication and transparency in our healthcare setting? Share your ideas on promoting a culture that encourages reporting of incidents, addressing burnout, and prioritising patient safety.

Lesson Outcomes 

1. Understand the importance of self-care for maintaining patient safety:

2. Identify and report near misses and incidents:

3. Prioritize patient-centred care and effective communication:

4. Apply knowledge of patient safety principles to real-life scenarios:

Background: Sarah has just completed her first year of nursing and is still getting accustomed to the fast-paced hospital environment. She is eager to prove herself as a capable nurse but feels overwhelmed by the complexity of the patient's case.

Assessment: Sarah assesses the situation by reviewing the patient's chart, speaking with her practice supervisor and the patient's doctor, and observing the patient's behavior and vital signs. She identifies potential risks associated with the outdated medication list, including medication errors and adverse reactions.

Recommendation: Sarah recommends that the doctor updates the patient's medication list with the current medications and dosages, and discuss the changes with the patient. She also suggests that she review and update the patient's care plan to ensure it is accurate and effective. Additionally, Sarah recommends that she double-check the patient's medications before administering them to ensure accuracy.

Professionalism:  How has Sarah demonstrated professionalism?

Background: Emily has been assigned to this patient for several days and is starting to feel complacent about their care. She is also feeling tired from a long shift and is struggling to stay focused.

Assessment: Emily assesses the situation by evaluating the patient's risk factors for falls, including their history of falls, mobility limitations, and cognitive impairment. She also assesses her own fatigue level and recognises that it may affect her ability to provide safe care.

Recommendation: Emily recommends that she moves the call bell to a more accessible location, such as beside the patient's bed or on their nightstand. She also suggests that she reevaluates her own fatigue levels and takes regular breaks to ensure she can provide safe care.

Professionalism:  How has Emily demonstrated professionalism?

Discussion Questions before watching the video:

1. What do you consider to be the most significant challenge in prioritising patient safety in your daily practice? How do you think this challenge could be addressed?

2. How do you currently prioritise your well-being as a healthcare professional? What strategies do you use to manage stress and maintain your physical and mental health?

3. Have you ever experienced or witnessed a patient safety incident? If so, how did it impact you, and what did you learn from the experience?

4. What role do you think leadership plays in promoting patient safety and staff well-being? How can leaders support healthcare professionals in prioritising patient safety and maintaining their own well-being?

Key points from the NHSI Report template:

1. Prioritising patient safety: Healthcare providers should prioritise patient safety by implementing strategies to prevent harm and minimise risks during the provision of care.

2. Root cause analysis: Conducting a root cause analysis (RCA) is essential in identifying the underlying causes of patient safety incidents and implementing corrective actions to prevent recurrence.

3. Communication: Effective communication among healthcare providers is crucial in preventing patient safety incidents. This includes clear and timely communication with patients, families, and other healthcare professionals.

4. Teamwork and collaboration: A multidisciplinary team approach is essential in providing quality care and preventing patient safety incidents.

5. Staff well-being: The well-being of healthcare professionals is critical in maintaining patient safety. Burnout, fatigue, and lack of self-care can compromise professional judgment and increase the risk of errors.

Discussion Questions after watching the video:

1. How did Andrew Sheldrick's story resonate with you? What did you find most compelling about his experience, and how did it relate to your practice?

2. What strategies do you think are most effective in preventing patient safety incidents? Have you implemented any of these strategies in your practice, or would you like to?

3. How do you think healthcare providers can better support each other in prioritising patient safety and maintaining their well-being? What role do you think peer-to-peer support plays in promoting a culture of safety?

4. What changes do you think are necessary to promote a culture of safety within your organisation? How can leaders support these changes, and what role can individual healthcare professionals play?

Discussion Questions before watching the video:

1. What does patient safety mean to you? Share your understanding of patient safety and how it relates to your role as a nursing student.

2. Can you recall a situation where patient safety was compromised? Share a personal experience or one you've witnessed, and discuss what you learned from it.

3. How do you currently prioritise patient safety in your nursing practice? Share strategies you use to ensure patient safety, such as hand hygiene, medication administration, or fall prevention.

4. How do you think a lack of self-care can impact patient safety? Discuss how fatigue, burnout, or compassion fatigue can affect your ability to provide safe care to patients.

Key points from the NHSI Report template:

1. Prioritise patient safety: Identify and mitigate risks, and prioritise patient safety in all aspects of care.

2. Follow guidelines and protocols: Adhere to established guidelines and protocols for medication administration, infection control, and other aspects of patient care.

3. Maintain accurate records: Ensure accurate and up-to-date records of patient care, including medication administration, test results, and treatment plans.

4. Communicate effectively: Communicate clearly and effectively with patients, families, and colleagues to ensure understanding and cooperation.

5. Stay vigilant: Stay alert at all times, reporting any concerns or near-miss events to ensure continuous improvement.

Discussion Questions after watching the video:

1. What strategies did you learn from Kirsty's story that you can apply to your practice? How can you implement these strategies to improve patient safety?

2. How do you plan to prioritise patient safety in your future nursing practice? What steps will you take to ensure patient safety in your daily work?

3. How can you maintain professionalism while dealing with challenging situations? Share strategies for coping with stress, fatigue, or burnout while providing high-quality patient care.

4. What support systems can you put in place to prevent burnout and maintain self-care? Discuss ways to prioritise self-care as a nurse.

1. What do you know about the NHS Patient Safety Strategy?

2. Can you think of any current patient safety issues or challenges facing the NHS?

3. How important do you think patient safety is in the NHS?

4. What are some potential consequences of inadequate patient safety in the NHS?

5. Have you ever experienced a safety incident or near miss while receiving care in the NHS? If so, what happened?

After watching the video:

1. What are the key objectives of the NHS Patient Safety Strategy, as outlined in the video?

2. How does the strategy aim to improve patient safety in the NHS?

3. What are some of the specific measures proposed to reduce harm and improve patient safety, such as those related to medication safety, infection control, and staff training?

4. How does the strategy prioritise patient involvement and engagement in patient safety initiatives?

5. What role do clinicians, managers, and patients have to play in implementing the strategy?

Additional questions:

1. How does the strategy align with existing patient safety initiatives and policies in the NHS?

2. What are some potential challenges or barriers to implementing the strategy, and how can these be overcome?

3. How will progress towards achieving the strategy's objectives be monitored and evaluated?

4. What impact do you think the strategy will have on patient outcomes and experiences in the short and long term?

5. Are there any aspects of the strategy that you are particularly excited or concerned about?

These questions can help you engage with the content of the video and reflect on your understanding of the NHS Patient Safety Strategy and its goals for improving patient safety in England.