Table 2.

Plan-Do-Study-Act Phase 2 Project Cycles

Cycle	Plan	Do	Study	Act
5	Increase awareness among staff of the project and implement for all patients	A pen and poster placed in each bedspace; email sent to all senior staff to be forwarded to all staff members explaining project	Audited number of bedspaces with accurately completed posters; ongoing WMTY MDT meetings on regular basis to obtain feedback	Good initial uptake with subsequent decline; after meeting, realized many staff missed off initial email and not checking emails regularly
6	Need to target nursing staff, in particular, with increasing awareness	Recruited 3 nursing staff ambassadors; sent emails specifically to all nursing staff; made it “topic of the week” at nursing handover; paper copy added to each admission pack, which nurses put into each bedspace when new patient arrives		A transient rise in uptake after “topic of the week” – WMTY MDT felt the need for further staff awareness given high numbers of staff turnover
7	Further nursing staff ambassador recruitment is needed and resources restock is required	5 more nursing staff ambassadors were recruited across grades; restock station created in each section of the unit with spare resources and instructions		From the drop in the number of posters, felt we needed to widen participation in the project further across the ICU MDT
8	Need ambassadors from throughout ICU MDT and a way for them to be identifiable on the unit; also made a topic at each new staff induction	Further, 7 ambassadors were recruited from PT/OT, SLT, medical team, and psychology; each given custom-designed badge to wear at work to represent project involvement; consultant team also included WMTY as part of daily jobs list	Audited number of bedspaces with accurately completed posters; emailed all staff a questionnaire to feedback on the project	Small improvement made; ongoing plans for project discussed and handover to the new team

ICU, intensive care unit; MDT, multidisciplinary team; OT, occupational therapy; PT, physiotherapy; SLT, speech and language therapy; WMTY, What Matters To You?