This learner has completed ID verification. Find out more.
Richa Bakshi
Quality improver. Things that spark joy for me:
Safety
Timeliness
Equitability
Efficiency
Effectiveness
Person centered care
Location Australia
Activity
-
Richa Bakshi made a comment
And in Jan 2021 resourceful countries are buying all the vaccines supplies.
-
Richa Bakshi made a comment
Like TB cases, other vulnerable groups include mental health consumers, family violence victims, those living with HIV etc- most departments have developed care plans and clinical pathways to ensure safe care can be provided
-
Richa Bakshi made a comment
Contact tracing may sound simple but in fact is a very complex process involving contacting people, analysing data on cases based on location to some hospital using apps and technologies to track infected pts movement and staff movement around large facilities to odentify hot spots accurately
-
Richa Bakshi made a comment
At teh hospital level
Setting up contact tracing teams
Regular communication to staff & visitors- educating them on source of truth
supporting staff that need isolation
Working from home
adopting telehealth
Fever clinics established
Infection control audits
Incident investigations into practivce breaches
Screening tools for staff and pts
visitor... -
Richa Bakshi made a comment
Early and hard lockdowns
contact tracing
modeling fatality and transmission curves
Wearing masks
Social distancing
Hand washing
Education that breaks barriers to reaching cultural and liguisticaly diverse groups -
Richa Bakshi made a comment
Solidarity and leadership are key
Ensure healthcare staff safety, provision of PPE & use data for decision making
-
Richa Bakshi made a comment
Numbers were also used in public health awareness campaigns to describe the potential transmission and R-eff number that needed to be kept below zero to keep the country safe
-
Richa Bakshi made a comment
Everyone understood the meaning of flattening the curve so well because of the graphical representation of actual and projected case numbers.
-
Richa Bakshi made a comment
I am reminded of how administrative controls are the most impactful of the three levels of infection control. Leadership at government, institution and domestic levels play a huge role in ensuring effective implementation of public health measures. In Australia, the health authorities diligently and with agility learnt v from the world and used data to draw...
-
Richa Bakshi made a comment
Yes, it must be a time for using critical thinking. Step out for a moment, take a drone view of the forest. Recognise & reset your expectations from your work in terms of how public focused approach is more useful and possible than providing individualised pt centered care. Remember to use your moral compass, advocate for your own safety knowing that's how...
-
Richa Bakshi made a comment
1 Be aware of where my resilience zone ended
2. Recalibrate my own expectations of my job to account for a systems view
3. Ask for help, for clarity. No time to be a martyr
4. Have the foresight to envision the pandemic as a marathon not a sprint and start self care early on
5. Adopt new rituals at workplace to connect, mentor, support -
Richa Bakshi made a comment
Has your organization implemented any strategies to address moral dilemmas happening at this time?
1. Self-care training and time out
2. Are you ok campaign
3. Employee health programs
4. Mentorship
5. Leave planning -
Richa Bakshi replied to Patricia Davidson
I definitely j understand better the preexisting vulnerabilities of these groups and how covid-19 has a compounding effect. Yes it's a matter of basic human solidarity and being aware of the discourse that can be perceived and can pave way for stigma and discrimination
-
Richa Bakshi made a comment
The particular community requiring unique response strategies in Australia has to be the conspiracy theorists. Everyone regardless of their ethnicity, age, gender, health and social economic backgrounds took personal responsibility but Anti maskers has to be deterred to cause further damage by law enforcement, I am not fully convinced of reasons
why they... -
Richa Bakshi made a comment
Yes I sometimes wonder if nurses really had a choice? With no visibility into the duration, severity of the pandemic and the risk. This along with moral distress resulting from lack of resources. If so that was known how many of them would have signed up?
-
Richa Bakshi made a comment
In Victoria, department of health issues guidelines and advisories in consultation with health care services, the government was quick to learn potential shortages of critical medical supplies and agreed prudently. Public healthcare is funded by tax payers, cost of testing and treatment is borne by the system. Nursing workforce deficit was recognised and...
-
Richa Bakshi replied to Richa Bakshi
@AnneC I wish real life issues were this simple :)
-
Richa Bakshi made a comment
I live in Melbourne and it's November, we are slowly coming out of stage4 restrictions. There was a travelers quarantine debacle that resulted in this massive socioeconomic and health crisis. And hard lockdown is the reason the curve has flattened. Now the pathway out of lockdown laid by the administration refers to the state following 'covid normal steps' not...
-
Richa Bakshi made a comment
Well I have been on parental leave but work in a hospital, I can tell how my colleagues have felt
Anxious - facing risk everyday, arranging childcare
Morally distressed- when re sources werent adequately available
Confused- trying to catch up with new SOPs daily
Frustrated- with antimaskers, conspiracy theorists, fake news on social media
Scared- putting... -
Richa Bakshi made a comment
By November now we are all bearing witness to how far flung and deeply sabotaged the social economic impact has been. Small businesses have shut down, mental health crisis has emerged, people have lost jobs especially those in tourism, entertainment, retail and sector and restaurants, a food insecurity crisis is imminent as a result is inaccessibility and...
-
Yes she loved it! I could tell because she's choosing the seller to plan her Christmas gifts!
-
Richa Bakshi made a comment
Going through the additional links, can i just summarise
1. Although they are called nursing homes, there face unrealistic demands. To be v able b two provide high quality clinical care and yet not Medicalise/ institutionalise the homes of these residents
2. Aged care sector has seen innovation, thanks to Covid-19 with telehealth being used to connect... -
Richa Bakshi made a comment
Based on your own experience, are you able to identify the part of your patient population who are experiencing more severe cases of COVID-19?
Aged care resident
Healthcare workers
Those living in social housing or crowded apartments
Immuno compromised
Those on long term cortico steroids
Those with underlying heath issuesWhat factors do you think...
-
The article on knowing when you are out of your resilience zone and taking action is particularly helpful
-
Richa Bakshi made a comment
In November as Melbourne eases restrictions, epidemiologists address urging the general public to learn further about the evolving risks. Time, close contact and indoor environment are key factors to consider risk of contracting covid-19 as people have embodied new social behaviours
-
Richa Bakshi replied to Eirini Karamichael
What's YX please?
-
Richa Bakshi made a comment
How is your country responding to the pandemic?
Lockdowns, border restrictions, public health educationWhat are the core approaches being used in your setting?
Social distancing
Masks
Hand sanitizer
Working from home
Lockdown
Home learningFinally, how do the experiences you have heard about Florence Nightingale influence your perceptions of the...
-
Richa Bakshi made a comment
I found the links to resources valuable. Particularly John Hopkins resource centre, it has information for specific groups like parenting, healthy eating, staying fit indoors & looking after our mental health
-
Richa Bakshi replied to Patricia Davidson
Stronger together but virtually or 6 feet away
-
Richa Bakshi made a comment
I am from Australia, Melbourne is slowly coming out of lockdown. The mortality isn't as high as the rest of the world and people most affected seem to be above70 years of age, with underlying co morbidities, those with lower health literacy levels
-
Richa Bakshi made a comment
I was aware of the principles of design thinking but the 5 step HCD process was new to me. I feel stage 1 of empathising is particularly important, the first step of getting things right. HCD principles can be applied to various industries, health and social care are notorious for being slow in embracing change, I feel this can be accelerated with HCD.
I...
-
Yes, no good being too precious about an b idea because it's mine if it doesn't meet the intended user needs
-
Richa Bakshi made a comment
Covid 19 situation and working remotely has taught us that change isn't just necessary it can actually make life more convenient and as effective. So many people have taken on to technology regardless of their age, literacy levels and social economic backgrounds, beliefs have been shattered. It was imperative to change our ways of knowing, being and doing and...
-
Richa Bakshi made a comment
What techniques might you use to test your solution for Tariq?
Interview
What would your test hypothesis be and how would you measure success?
Tariqs 'fast and furious work ready' station is designed to save time searching for essentials in the mornings so he can reach on timeMeasure- Total time taken from waking up to leaving house with and without the...
-
Richa Bakshi made a comment
It's evident that using Java not just your head gets the creative juices pumping. While drawing I actually improvised on my idea. The paper now has prototype version 2.
-
Richa Bakshi made a comment
First - Tariq enters house and takes 1 minute to prep for next day
Then- he places his shoes, keys, phone ( on charging) on the new 'Fast & Furious' station by the door with a preset small traditional alarm clockOutcome- Tariq finds things in place next day and can leave on time
-
Richa Bakshi made a comment
Prototyping techniques I heard are
1. Workshops
2. Asking colleagues to give feedback
3. One on one user feedback -
Richa Bakshi made a comment
I would use impact effort matrix
Finalised on a mixed matched option- use an old fashioned alarm clock but place it outside the bedroom -
Richa Bakshi made a comment
I like the ways where introverts audio have an opportunity to be heard
-
Richa Bakshi made a comment
My problem definition was - how might we help Tariq find a reliable workday alarm system
Ideas
1. Old fashioned alarm clocks
2. Charge phone on the way back home in car & set a daily alarm on phone
3. An alarm reminder to charge phone?
4. Move phone charging station to a point near house entry - won't disturb partner & encourage Tariq to get out of bed... -
Richa Bakshi made a comment
As Tariq I want to fix a permanent workable weekday alarm so that I can start my day on time. How might we help Tariq set an effective and reliable weekday alarm system
-
Richa Bakshi made a comment
Pains
1.Lack of good quality sleep
2. Unorganised house - time spent in finding things
3. Inability to use alarm
4. Time & space clash with partnerGains
Intentions to organise life
Acknowledgement of the issues -
Thanks Margaret, that sounds reasonable!
-
Richa Bakshi made a comment
With empathy map I might ask Tariq to keep a diary of time activity log
-
Richa Bakshi made a comment
What do you think Tariq’s problem is? Why is he always late for work?
How could you find out more and help Tariq solve his problem?
I don't know yet, without assuming I would probably interview him using remotely map and observe his morning and week nights routine. There's more going on if he hasn't been able to pay heed to warnings.
How could you...
-
Richa Bakshi made a comment
I always find this extremely useful in all university of Leeds courses
-
Richa Bakshi made a comment
Can you think of a time you tried and failed within a project?
I fail to communicate my opinions in busy meetings which are often highjacked by the vocal. I have taken some time out for CPD & build my communication skills
How did you feel? How did it work out in the end?
It feels good to know my personal strengths and weaknesses, take action in areas for... -
Richa Bakshi made a comment
What surprised you about your empathy map?
Structure, facilitating questions, active listening and notes taking
Did you find it easy to fill out?
Yes but r will require practice for complex use
What pains and gains did you discover?
I used it to decide a gift for my friend. She has an exquisite taste and I struggle to give her something meaningful. I have... -
Richa Bakshi made a comment
Why do you think staying open and empathetic makes for better designs?
Fail early, learn fast, deliver purpose built/ need based productsBased on what Cat says, what role do you think our assumptions play in our design decisions?
Simple assumptions that people generally like visuals over text can be proven wrong as in the organ donation campaign or... -
Richa Bakshi made a comment
Are you surprised at how simple the solution to the problem was?
Yes, fascinating. I really like the idea of digitally displayed waiting times. I hope privacy was taken in to account. Sometime back we implemented a ticket system for non urgent category patients in ED educating them what the max waiting time is and offering an old appointment next dayDo...
-
Richa Bakshi made a comment
I choose signages and posters on processes and wait times
How expensive do you think the solution would be?
Not much at all compared to hiring more staff or trainingHow easy would it be to carry out?
Easy but needs to be well thought through to meet the purpose - anxious patients waiting to be seen understand what's going on and what to expect and... -
Richa Bakshi made a comment
Do you do any of these elements in your work already? What do you use, and how does it help you?
Partially- we use surveys and questionnaires but I feel they bring people into research space rather than researchers dropping their assumptions enter the actual experience space
If you don’t, which elements of the process sound most helpful to...
-
Richa Bakshi made a comment
1) Ethics- respecting the privacy and confidentiality of users when developing a HCD
2) inclusivity- HCD that meets needs of minorities eg how do visually impaired know the expiry dates of for products- perhaps it can be written in Braille?
3) Diversity & discrimination- i read somewhere that Twitter had to bring down their chat box because of racially... -
Richa Bakshi made a comment
Can't think of something that won't benefit from hcd, for a moment I thought my tea cup was perfect and I love it but then a futuristic model would be one that keeps my beverage at optimum temperature longer.
Sh24 is a 24*7 digitally available sexual health service in NHS, developed by clinicians, service users and design thinkers. Imagine receiving STD...
-
Fascinating about design thinking is
1. Pragmatic solutions though imperfect but open to improvisation are accessible early on
2. It truely is co designing and co producing with end users
3. The confidence Gill had in it is inspiring
4. It's a transferrable skill applicable to various industries and work both digital and physical -
Richa Bakshi made a comment
Great design examples
1. Virtual personal assistant Alexa
2. Future learn course designs
3. 5 star health rating of food productsBad design
1. My public hospital- scattered departments with ineffective signages
2. Mental health wards with Self harm risks
3. Sharp fittings in my bathroom
4. Kitchen sink's design that gives lots of sneaky places for... -
Richa Bakshi made a comment
I think the problem might be of perceived privacy breach like who decides who needs to know, who reads, who alerts, who reports? And the accuracy of it all, people wouldn't want to be labelled suicidal because of something they tweeted, to some this could mean disrespectful and undermining their own capabilities to look after themselves.
Design thinking...
-
Richa Bakshi made a comment
Hi I am a quality improver, working in public healthcare constantly looking for tools to drive and enhance the improvement process and make hospitals consumer centric!
-
Richa Bakshi made a comment
The glossary is so helpful in an of these courses!
-
Richa Bakshi made a comment
Seek distancing, wearing a mask and taking care of hygiene. Also just complying to Chief medical officers advice up until we have a vaccine
-
Richa Bakshi made a comment
Right now it's covid, just causing such turbulence and changing the face v of our society
-
Richa Bakshi made a comment
M maternal and child health nurse, gp, pharmacist, council members
-
Richa Bakshi made a comment
You should
1. Stay inside a cool comfortable place on hot afternoons
2. Keep yourself hydrated
3. Cover your head and wear sunglasses when outside -
Richa Bakshi made a comment
We need to be aware of the barriers to complying to n medication regime:
1. Cultural- in some cultures you stop intake when you feel better, take need SOS only, intervention with home remedies
2. Language
3. Health literacy
4. Clarity of instructions from staff- written script always helps
5. Underlying psychological issues- self farm intentions leading... -
Richa Bakshi made a comment
I work in administration and often give advice as opposed to instructions. It requires a great degree of tact and one needs to sound assertive, humble, knowledgeable and respectful at the same time. Be mindful of their concerns whilst getting the job done!
-
She's learning the art of history taking and the value of systemic examination even the complaint is localised. She's practicing medicine
-
Richa Bakshi made a comment
Exact location
History of trauma
Lifestyle- working on computers?
Previous history of pain -
I completed all activities and scored 100% for correct answers. I was aware of reflective practice and that v the course is a basic one.
-
Richa Bakshi made a comment
I really a good conversation. Small talks are important for ice breaking so knowledge of context comes handy. Conversation is a critical human social need
-
It's mode difficult note with people either wearing masks or digitally of the network isn't great. Australian accent is particularly tricky characterised by slangs, metaphors and shortened words. The community is culturally diverse so people may still be speaking English but you'll find yourself double checking if you've got the message right.
-
They ask Medicare details, aboriginality, insurance details
-
Richa Bakshi made a comment
This might be seen oversimplified map, in reality hospitals are complex structures starting from parking to post operative areas. It only gets worse if the building is old like the one I work in has departments across the street, wings across the bridge & underground alleyways. It's also confusing with hospitals include hospices, palliative care and aged...
-
I visit as an employee everyday. But as a service user it's a different perspective. Parents may be troubled about their health, in pain and additional hospitals can come across as large, daunting unknown places and we are left with no choice but to trust strangers with our bodies and minds.
-
Richa Bakshi made a comment
Yes I think I know seek of their roles
-
Richa Bakshi made a comment
I particularly find value in what, so what, now what method of critical thinking and reflection!
-
Richa Bakshi made a comment
Elon musk suggested a great memory technique- correlate new knowledge to existing knowledge. It's like growing that one tree of knowledge, with a strong trunk of fundamentals just keep asking the branches to cement the learning
-
Richa Bakshi made a comment
Hello, I think my English gets me by but because it isn't my first language I have trouble getting my thoughts across on a time poor environment such as an hospital where staff are constantly interrupted. I work as a quality improver and communication is a key skill in my role that c requires building strong interpersonal professional bonds
-
Richa Bakshi made a comment
It's quite different in the UK compared to South East Asia. The way hospitals are set up, the patient clinician power balance, the roles, consumeristic model. Looking forward to an insightful week!
-
Thanks the course describes aspects of quality is life that can be taken for granted. It urges one to introspect and acknowledge objects, social relationships, neighborhood, live stages and opportunities they already have that are incremental to their path to happiness. It also urged me to be aware of what I need to work towards to improve my quality is life
-
Richa Bakshi made a comment
Smile more, be a conversation starter, communicate your feelings before it's too late, learn the local language, practice interpersonal respect, question beliefs & presumptions, respect privacy- to improve social ties because connection is a human need!
-
That the educators would be unable to engage as richly as they did a couple of weeks prior
-
Richa Bakshi made a comment
I love one on one relaxed conversations over a cuppa. At work in tea Room. At home in the living room with my family.
-
Yes technology did come to human kind's rescue big time this year
-
Thanks for sharing, good reminder!
-
Richa Bakshi made a comment
I consider myself fluent in English although it isn't my first language but having moved around countries I quickly became aware that English isn't the same in all geographies- locals use varied slangs, metaphors, pronunciation. It might not be a new language to learn but nonetheless ask these make up for a satisfactory conversation. No fun not getting a joke,...
-
Good communication I learnt includes
Listening
Paraphrasing to be on the same page
Starting with positives then pointing the negatives after giving context of value to business
Keeping assumptions aside
Smiling
Being yourself
Don't hesitate with a bit of humour
Be ready to learn to develop cultural humility -
Richa Bakshi made a comment
workplace Leadership that demonstrates
InclusivenessCommunity that stand for equity
Facebook groups that outline interpersonal respect as a joining requirement
Families that live virtues of honesty and integrity in daily lives
-
Richa Bakshi made a comment
Conditions in current society conducive to Qol
1. Remote working
2. Digital meetings with anyone around the world
3. Democratisation of knowledge
4. Instant messaging videoconferencing loved ones any time of the day
5. Feeling safe and belonging to emerging and traditionalsocial groups on digital platforms -
Richa Bakshi made a comment
Independent youth
Nuclear families
Self assertion
Lonely -
Richa Bakshi made a comment
Social relationships are actually paramount to me, I would prioritise them above 'highly livable place'. People that being out the best in me, my work, my personal roles, my mood were the ones I was happiest with. We moved continents but I often reminisce our chats and the places we explored. That's why a lot of us chose family ( I chose community) in a poll...
-
Richa Bakshi replied to Shwe Yee Aung
That's true, emotions are viral!
-
Richa Bakshi replied to Kathleen Duffy
Sounds terrific! I hope you all have a good time!
-
Richa Bakshi made a comment
Ideal social space or relationship for me is one that's non judgemental, welcoming, positive, ethical, safe, free and well meaning!
-
Richa Bakshi made a comment
Thanks yes space and objects are definitely significant factors!
-
Richa Bakshi made a comment
Hands down my phone with all its features, I can leave home without money but without phone it would be a an arduous journey. Improves qol by providing
Safety
Directions
Advise
Identify
Way to capture memories, manage time and resources better -
Richa Bakshi made a comment
Just like babies associate a favourite toy or blanket to sleep/ love/ comfort/ safety.
Adults buy laptops and phones that suit their needs, and to fit in social groups -
I believe it is to a great extent!
-
Richa Bakshi made a comment
Places are not neutral. People need to be in involved in planning places, how many times are our needs considered and residents involved in co planning and co designing
-
Richa Bakshi made a comment
Independent house
Backyard
Close to good school
Close to train station
Close to shops
Safe & friendly neighborhood -
Richa Bakshi made a comment
Reduce commute cost and time