Daniel Wolstenholme1, Ray Poll2, Angela Tod3. 1. Director, Centre for Quality Improvement and Clinical Audit, Royal College of Obstetricians and Gynaecologists, United Kingdom. 2. Nurse Consultant for Viral Hepatitis, Sheffield Teaching Hospitals, NHS Foundation Trust Sheffield, United Kingdom. 3. Professor of Older People and Care, School of Nursing and Midwifery, The University of Sheffield, United Kingdom.
Abstract
BACKGROUND: Many reasons for missed appointments are given by people who inject drugs and it is suggested that one solution cannot solve this complex issue (Poll et al., 2017). Increasingly, nurses and other health professionals are expected to actively involve patients and service users in developing innovative, effective and accessible services. This project used co-production as the approach to address this challenge. AIMS: This paper describes how a co-production method was used to develop accessible nurse-led hepatitis C virus services for people who inject drugs. METHODS: Using research evidence from a study conducted by the lead author as a starting point, a series of co-production workshops were run using creative co-design methods to identify the barriers to engagement with clinics. Potential solutions were then co-produced. RESULTS: The solutions included myth-busting posters, peer-support, a mobile clinic van and the offer of incentives and enablers (travel costs or a reward for attendance). CONCLUSIONS: The service-development project illustrates how, with the right methods, it is possible to successfully engage with hard-to-access groups to co-produce innovative solutions for an important clinical challenge.
BACKGROUND: Many reasons for missed appointments are given by people who inject drugs and it is suggested that one solution cannot solve this complex issue (Poll et al., 2017). Increasingly, nurses and other health professionals are expected to actively involve patients and service users in developing innovative, effective and accessible services. This project used co-production as the approach to address this challenge. AIMS: This paper describes how a co-production method was used to develop accessible nurse-led hepatitis C virus services for people who inject drugs. METHODS: Using research evidence from a study conducted by the lead author as a starting point, a series of co-production workshops were run using creative co-design methods to identify the barriers to engagement with clinics. Potential solutions were then co-produced. RESULTS: The solutions included myth-busting posters, peer-support, a mobile clinic van and the offer of incentives and enablers (travel costs or a reward for attendance). CONCLUSIONS: The service-development project illustrates how, with the right methods, it is possible to successfully engage with hard-to-access groups to co-produce innovative solutions for an important clinical challenge.
Keywords:
case study; co-production; evidence-based practice; innovation and improvement; knowledge mobilisation; service-development; substance use and misuse
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