Authors (including presenting author) :
Ho HS (1), Leung YWN (2, 3), So HM (2, 3), Tsoi SC (2), Tsui WKC (2), Yeung PH (4), Mo KLS (1), Kwan KLA (1)
Affiliation :
(1) Renal Team, Department of Medicine, PYNEH; (2) Nethersole Clinical Simulation Training Centre (NCSTC),Hong Kong East Cluster Training Center for Healthcare Management and Clinical Technology, (3) Department of Intensive Care, PYNEH, (4) Nursing Services Division, PYNEH
Introduction :
Simulation training bridges the theory-practice gap in nursing. Complications such as hemolysis and cardiac arrest during haemodialysis may occur unexpectedly with serious medical outcomes although these complications may be infrequent. Renal nurses must be proactively prepared to be competent in managing these situations confidently and safely. However the use of high-fidelity renal specific clinical simulation is limited for renal nursing training in Hong Kong.
Objectives :
To evaluate the effectiveness of using high fidelity renal specific simulation training program on enhancing renal nurses’ competency in managing renal patients with emergency situations.
Methodology :
A team of simulation trainers of NCSTC were invited to design 3 clinical- based scenarios including patient with complex health problems, medical emergencies to life threatening clinical situations that might occur during haemodialysis. Then a 3.5 hours scenario - based with use of high fidelity simulation training program was organized and delivered to nurses working in haemodialysis unit of PYNEH from Nov 2016 to May 2019. A group of 4 renal nurses were recruited in each workshop. Debriefing after each scenario was conducted, during which discussion of good practice, feedback on weak areas and sharing of experience were encouraged. Finally post workshop evaluation with Likert-type scale (0-5) was conducted.
Result & Outcome :
From 2016 - 19, 7 workshops were conducted with 28 renal nurses participated. Among the return of 28 sets of post workshop evaluation, participants reported highly positive responses to the workshop. The overall satisfaction score was 4.4 / 5. They satisfied with facilitators’ feedback during debriefing session. They found the simulation training program not only provided an opportunity to reflect on areas of practice requiring improvement, but also enhanced their clinical competence in handling emergency situations confidently and safely.
In conclusion, application of high fidelity simulation training on haemodialysis enables participants to build confidence and experience to manage a range of complex and rarer emergency situations in a safe environment. Through high fidelity renal specific simulation training, renal nurses’ competency is enhanced and patient safety is assured.
