Palliative CATQIP

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Change Activity Plan 

Victories: 

• Spoken with health care settings about workshops
• Spoken with community settings about workshops
• Locked one community workshop in

Challenges:

• Time has been a challenge, also a lot of procrastinating especially when the weather is hot. I tend to stand in my own way a lot. It feels like this project is overwhelming.
• Also, when I get traction with someone particularly in health settings, the obstacles that come from above are demotivating, feels like pushing elephants upstairs.
• The work that I do is also so broad, working out how to make it attractive and easy to follow is another thing. Remembering that most people do not know what I know so drilling back down to the basics

Lessons:

I feel like the real power is in the community, this has been shown again and again. My goal is to build a bridge between healthcare and deathcare however targeting the healthcare sector is arduous and fraught with setbacks. I think I need to get quick wins across the community settings first and look at this as something where the community starts demanding from not me trying to push it with my theories alone.

Support:

I think it would be good for there to be like a phone tree involved in this where we each have to reach out to another and see how we are going.

Do you have any questions about the program in general?

No

What has been your favourite thing about Palliative CATQIP so far?

It is making me accountable! 

Change Activity Plan 

Update slides

Victories: 

• We have completed our first arts and yarns workshop with 15 attendees
•  received feedback on the initial workshop and used that to make changes for the next one
• booked a community session for next year

Challenges

• Hard to get engagement from staff for our first session-
  1. lots of people signed up but not all attended
• getting feedback was also hard with only 3 people completing the survey
  1. we have now reviewed the way feedback can be given for our next session

Lessons-

• Feedback has allowed us to review the running sheet for the workshop so we will separate the more formal 5 minute presentation from the arts portion and also have a more formal break for food in the middle.
• It has been a real team effort with the whole team helping to put it together so getting the team on board was vital to being able to implement this activity

Support- 

• No I am lucky to have an amazing and supportive team who are supporting this activity

Do you have any questions about the program in general?

• NA

What has been your favourite thing about Palliative CATQIP so far?

This program has been a great motivation for getting this project started- having a deadline has helped us to focus and get moving!

Change Activity Plan

Progress update presentation slides

Victories: 

• ✅Submit Palliative CATQIP Change Activity Plan
• ✅Review relevant resources
• ❌Review relevant service policies around VAD & Palliative Care
• ✅Develop pre and post staff interview survey
• 🟡Meet with Service Manager to discuss outcome of policy review and determine if any additions or changes need to be made
• ✅Update TCC Complex Coordination database
• 🟡Conduct staff interviews – commenced
• ❌Develop clinical education plan for team members based on outcome of survey

Challenges

• Reduced team and own FTE
  1. I have reduced my own FTE to manage external commitments. Now 0.8FTE.
  2. The team is already operating at a 0.7FTE deficit.
• Staff retention
  1. Additional workload onboarding new team members with recent short notice resignation of team member
• Leadership change
• Palliative CATQIP discussions.
  1. Difficult in current climate to engage due to time constraints –
• Scope of project including VAD
  1. deliberation around the value of this and if it may have been excessive
  2. important to include
•  Time frame
  1. self imposed due to leave and service requirements
  2. changes made

Lessons

• Design & Implementation:
  1. Start small pilot changes first involve stakeholders early;
  2. keep communication clear and consistent;
  3. schedule more dedicated times for this.
•  Influencing Factors:
  1. Resource limitations and compliance requirements shape what’s possible;
  2. organisational culture strongly impacts success
  3. consider timeframes and build contingency to manage these into the plan
• Personal Growth:
  1. Adaptability and patience are essential;
  2. balancing improvement with broader demand of service and team members is challenging but rewarding;
  3. leadership and collaboration skills have strengthened;
  4. development needed in confidence to advocate for project;
  5. constructive feedback is very helpful - prompts discussion and reflection.

Support

• I'd be grateful to schedule a couple of check in appointments to assist with progression, and implementation - I found the feedback from the Palliative CATQIP Change Activity Plan to be invaluable and would be grateful for that guidance .

Do you have any questions about the program in general? No

What has been your favourite thing about Palliative CATQIP so far?

Feedback from the Palliative CATQIP Change Activity Plan.

Change Activity Plan 

Victories: 

• Activities
  1. Conducted baseline surveys to assess staff knowledge and confidence regarding ACP.
  2. Developed educational resources tailored to both staff and clients.
  3. Provided structured ACP education sessions to staff.
  4.  Delivered ACP education to clients during Nurse Practitioner (NP) consultations.
  5. Mentored staff members who are now incorporating ACP conversations into their practice.
• Progress to Date
  1.  Completed education sessions for multiple staff members.
  2.  Ongoing education provided to clients during NP reviews.
  3.  Supporting and mentoring staff who are delivering ACP information in their day-to-day roles

Challenges

• Limited time and competing workload priorities.
• Some staff resistance to change or lack of confidence initiating ACP discussions.
• Staff turnover resulting in the need for repeated training.
• Changeover of staff after education has been provided, impacting continuity.

Lessons

• Ongoing reinforcement and follow-up education are essential to maintain staff confidence.
•  Embedding ACP education into routine workflows increases uptake and sustainability.
• Staff are more engaged when education is practical, relevant, and supports their clinical role.
• Early identification of champions within the team helps drive cultural change.
•  Building ACP literacy among clients improves participation in care planning and supports shared decision-making.

Support

• even though progress is slow, we are going ok

Do you have any questions about the program in general?

• No

What has been your favourite thing about Palliative CATQIP so far?

Post-education, some of the staff members have completed their ACP, and encouraged their families to complete I thought that was very encouraging