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Partnering with patients to develop and implement a care plan for patients and/or carers attending a Kidney Supportive Care service

2022 RBWH Foundation Extraordinary Opportunities Grant
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Project description

Lead researcher RBWH Senior Social Worker Jenny Kirby and her team partnered with consumers to learn from their lived experience with advanced chronic kidney disease (CKD) to co-design a care plan. 

Why this work is needed

The RBWH Kidney Supportive Care Service (KSC) is an interdisciplinary service delivering care to people with chronic CKD, assisting patients and carers with the patient's complex health and needs. The Advancing Kidney Care 2026 (AKC2026) Framework states that patients and/or carers should receive a copy of their care plan, documenting their goals, values and preferences for care. Consumer feedback gathered over the past seven years at RBWH KSC shows that 35% of respondents attending the service would like more information from medical appointments. There is, however, no validated tool in literature/research. This project partnered with a group of consumers and clinicians to co-design a solution intended to assist patients and carers remember and act upon the information/advice from their KSC appointments.

Outcomes

The team conducted focus groups and interviews to assess what the problem looked and felt like for consumers. It then established what a solution could achieve for those involved. Informed by the views and experiences of consumers, a Kidney Supportive Care Appointment Summary template was designed. The template is interactive and can be tailored to the individual person’s appointment, with a copy then provided to the patient. Surveys were used to evaluate the template, with results indicating positive responses from both consumers and clinicians. The project has developed a tangible method that the clinicians of KSC can use in everyday practice to improve shared care planning. 

Kidney Care

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Meet the researcher

RBWH Senior Social Worker Jenny Kirby

Jenny Kirby

Senior Social Worker
RBWH Social Work Services

Jenny Kirby

Jenny Kirby is a Senior Social Worker at the Royal Brisbane & Women’s Hospital. She has worked as a social worker for more than 15 years and has worked both in Australia and the UK. Jenny has been with Metro North HHS for almost 10 years. Jenny has delivered local improvement initiatives in community mental health and inpatient cancer care settings. For the past 6 years Jenny has been part of an inter-disciplinary team for people with advanced chronic kidney failure. Jenny has presented on Social Work practice within Kidney Supportive Care at National and International conferences.

Jenny is currently undertaking a Graduate Certificate in Clinical Redesign, focusing on evidenced-based improvements in our health services and processes to deliver positive changes in patient care.

Jenny is passionate about translating research evidence into locally based improvement initiatives. Central to this is partnering with consumers to learn from the knowledge and lived experience of people accessing these services.