Authors (including presenting author) :
Lam S.Y. (1), Liu K.K.(1), Lee K.P.(1), Yeung S.C.(1), Lai K.T.(1), Lee P.Y.(1), Tong W.C. (1)
Affiliation :
(1) Department of Medicine, North District Hospital
Introduction :
With increasing demands of cardiac care service, a two-phased service enhancement was being implemented in the North District Hospital (NDH) from 2018-2019. The service enhancement included four additional cardiac care unit (CCU) beds and service hour extension of cardiac catheterization laboratory. In order to fulfil service enhancement, 14 additional manpower including 4 fresh graduates and 10 junior nurses were deployed to NDH CCU. Inadequate training, especially in stressful work place such as CCU, have been associated with incompetency particularly with high stress level, and poor job satisfaction. This self-initiated bottom-up approach in-house structured training comprised with theoretic input and hands-on practice by young preceptors served to equip newcomers with the necessities of knowledge and skills to work in CCU.
Objectives :
(1) To better equip newcomers to work in CCU, thus decrease stress level.
(2) To maintain and improve staff competency and standard of patient care.
(3) To engage and empower junior staff as preceptor.
Methodology :
A quasi-experimental design with “pre-test” and “post-test” was adopted. Interventions included (1) Induction lecture about common arrhythmia; and (2) Hands on tutorial about common cardiac procedures together with (3) Color coding and sequence of necessary equipment needed for common cardiac procedures were introduced to CCU newcomers. Subjects were (1) CCU newcomers; and (2) CCU senior nurses. Outcome measures were (1) Newcomers’ competency; (2) Newcomers’ job satisfaction and stress level; and (3) CCU senior nurses’ satisfaction level towards junior nurses performance.
Result & Outcome :
From Aug 2018 to Aug 2019, 14 new comers participated in the training program. There were 100% acquired key competency; decrease in stress level by 20.5% (=< 0.05, paired t-test); increase in job satisfaction by 48.3% (=< 0.05, paired t-test); and increase in senior nurse satisfaction by 65.0% (=< 0.05, paired t-test) regarding junior nurse performance.
