Authors (including presenting author) :
Poon CYM(1)(2)(7), Kwok MLA(1), Chui WST(2)(4), Y W(1)(3), Yeung TPP(1)(7), Shum PSE(2)(3), Kwan WMC(2)(3), Fung CM(2)(5), Ng WC(2)(3)
Affiliation :
(1) Central Nursing Division, Bradbury Hospice/Shatin Chesire Home/Shatin Hospital, (2) Person-Centred Care Workgroup, Bradbury Hospice/Chesire Home Shatin/Shatin Hospital, (3)Bradbury Hospice, (4) Chesire Home, Shatin (5) Medicine & Geriatric Department, Shatin Hospital, (6) Psychiatric Department, Shatin Department, (7) Surgical Department, Shatin Hospital
Introduction :
Achieving high quality healthcare services depends on nurse’s effective nursing care nowadays. Nurses have to advance their clinical knowledge and skills so as to improve the quality care in different areas. Frontline staff may feel burdened to attend so many lectures due to limited time and poor motivation. Integrated and focus training were more beneficial to staff. In order to engage nurses’ learning motivation and facilitate updated clinical knowledge dissemination, GMN leads the Person-Centred workgroup to design an innovative and interactive training event “Quality Care Booth” which consists of 9 training booths. Relevant topics were planned according to clinical service demand. Workgroup members worked as facilitators and support role for the booth arrangement, budget planning and job allocation.
Objectives :
It aimed to (1) equip nurses and supporting staff with advanced clinical knowledge and skills; (2) enhance the staff understanding for the application of theory into practice through an interesting and interactive training process.
Methodology :
The “Quality Care Booth” included nine training activities. GMN and BBH/SCH/SH Person-Centred Care Workgroup considered local training needs among frontline staff of three hospitals to design our own special booths.
The event was promoted through email, posters and advertised in department meeting. Staff joined the booth during their own lunch time and after duty hours. Thus, normal clinical service was not disturbed.
The nine booths topics included pressure injury prevention, physical restraint reduction, medication safety, clinical nursing handover, Critical Incident Psychological Service (CIPS), department booths (fragility care, workplace violence, conductive education) by Shatin Hospital, advance care planning and patient profile board by Bradbury Hopice and Shatin Chesire Home, good communication skills by supporting staff, Government Vaccine Programme (GVP) promotion.
Each booth was designed and ran by cluster or department workgroup with clinical knowledge applied into the games and educational tools.
Four cluster workgroup (pressure Injury prevention, physical restraint reduction, medication safety, nursing shift handover) organized their booths with local features added. For example, pressure injury prevention workgroup focused on the promotion of staff awareness in pressure injury prevention. The booth included the participation of dietitian and occupational therapy for nutrition care and pressure mapping, pressure points and pressure relieving devices. Most games required staff to answer related questions and education materials with souvenirs were offered to participants.
For our local booths, one of the innovative ideas was Medical & Geriatric department using bean curd sheets to demonstrate how to assist a fragility patient wearing clothes. Care of fragility patient was one of the essential nursing care to learn the techniques to prevent fragility fracture. For Psychiatric Department, psychiatric staff taught the posture of handling workplace violence to participants at a mirror. Instant photo was taken together with educational pamphlets given to participants. Conductive education booth was organized by surgical department to allow staff to understand the rehabilitation training for stroke patients.
The booth set up by supporting staff was worth to introduce since they targeted on enhancement of communication skills for bedside care of supporting staff. Knowledge on advance care planning and patient profile board were enhanced to staff through interactive activities ran by Bradbury Hospice and Chesire Home Shatin.
In addition, GVP cart and booth set up for promotion by infection control nurses and offered vaccination for staff on the same site. NTEC Critical Incident Psychological Services Centre (CIPS) arranged displayed board and encouraged staff to praise themselves for self-encouragement.
Result & Outcome :
The evaluation and feedback from both participants and working members showed positive feedback. Staff appreciated the colorful and beautiful booth banner. They expressed joyful to join the event and attract their learning. Total 220 staff attended this event and returned the evaluation forms. The evaluation form consisted of ten 6-points Likert scale questions and one opened question. The first nine questions evaluated the rating of nine booths. The tenth question evaluated the overall satisfaction of the event. The open question asked for further comment. The result of the most popular booth games was medication safety (100%). The staff satisfactions showed strongly agrees was 98.2%. There were eleven written comments from the evaluation form. Staff feedback that the activities brought both joyfulness and clinical related knowledge. They appreciated this media of learning and suggested to implement every year. Conclusion Staff enjoyed the innovative and interactive learning method. They recognized the booth themes were the core nursing care in clinical service. They agreed the quality of care was important since the increasing complexity of patient’s condition. Regular training was important to nurse and supporting staff. Nurse leaders performed the important role of making changes in nursing aspect.
