Authors (including presenting author) :
Kwok MH (1), Tong KY (1), Chu TH (1), Mak WH (1), Chui ST (1)
Affiliation :
(1) Surgical Department, Prince of Wales Hospital
Introduction :
The insertion and placement of percutaneous transhepatic drainage has long been a puzzle to many patients with hepatobiliary and pancreatic (HBP) diseases, causing much inconvenience and embarrassment when carrying drainage bag outdoor. On top of this, a pilot program of “fortune bag” was launched in our Hepatobiliary and Pancreatic Unit since July 2019.
Objectives :
(1) To build team spirit through the programme as staff were involved in video recording, design of the fortune bag and education materials for patient education. (2) Colleagues were expected to reach self-actualization and gain job satisfaction. (3) To reduce the workload of colleagues by video education and provide standard drain care education to patients.
Methodology :
A “Fortune bag” was specifically designed by the specialty nurse for patient’s management of the biliary drainage bag when going outdoors. Moreover, nursing colleagues were invited to participate in making a video, which demonstrated the application of the “Fortune bag” and drain care to our patient in an interactive way. The video was broadcast in ward during visiting hour. A 5 likert scale questionnaire was conducted to our nursing staff to evaluate job satisfaction, job dedication and motivation of our staff. The survey was conducted in person anonymously. The inclusion criteria were those who conducted education to HBP patients with drainage tubes to apply fortune bags at least once with the use of the tailor-made video and completed return demonstration by the patients.
Result & Outcome :
60 “Fortune bags” were distributed to patients. It was encouraging that most of the patients appreciated our tailor-made bag design. 25 questionnaires were distributed and collected among nursing staff with 100% response rate. 83.3% staff agreed that they gained job satisfaction from the patients’ or relatives’ recognition after patient education. 94.4% staff showed increased interest in learning the knowledge of HBP. 83.3% staff stated that they had strong sense of participation in enhancement of nursing care quality in ward. Finally, 83.3% staff agreed that they received recognition from supervisors. The HBP colleagues could gain job satisfaction through patient education. The video of emptying drain and drain care are easy to be understood by patients and relatives. The broadcast video attracted patient's relatives participating on the drain care and offer support to them. The workload of our staff was reduced. More nursing care can be provided and thus the quality of nursing care can also be improved. This programme successfully strengthened staff’s job commitment and job satisfaction, which achieved the mission of happy staff.
