Authors (including presenting author) :
Karn KY(1), Lee KY(2), Cheung KY(3), Lam KK(3)
Affiliation :
(1) Nursing Services Division, United Christian Hospital (2) Community Nursing Service, United Christian Hospital (3) Accident & Emergency Department, United Christian Hospital
Introduction :
The Kowloon East Cluster (KEC) outreach nursing teams consist of nearly 250 nursing staffs and they are the lone worker in the community. In the past, there were attempt suicide and sudden arrest incidents were found during community nurse (CN) home visit. It was a great challenge for outreach colleagues in response to unexpected and emergency situations. The psychological impacts of these sudden incidents were substantial to our colleagues. However, there were no related training for the outreach teams in KEC. Thus, a structural simulation scenario based training workshop for the outreach nursing team was initiated in KEC to equip the lone workers for handling the unexpected and emergency situation and provision of crisis managements in the community.
Objectives :
• To consolidate the outreach nursing teams’ knowledge and skills in clinical conditions • To empower the outreach nursing teams’ capability in response to a cardiac arrest emergency situation in community • To align the clinical procedure of emergency management among the KEC outreach nursing teams
Methodology :
The simulation scenario based training workshops were commenced from the end of August to Mid of October by qualified simulation educators. At the beginning, a working group was established for the training planning. The representative of outreach nursing teams such as the community nursing service (CNS), palliative home care service (PCHC), community psychiatric service (CPS), Integrated Care Model (ICM) were invited to be the members of the working group. The crisis management and timely decision making in the unexpected and emergency situation were included in the training content. Finally, there were four identical training workshops were conducted. The content of the workshop consisted of four different case scenarios in community setting such as infant choking case, adult chocking case, sudden arrest case, and attempt suicide case. The contents and documents of the training workshop were endorsed in the United Christian Hospital Coordinating Committee on Hospital Resuscitation. Participants were qualified with the American Heart Association Basic Life Support Certificate and were nominated by the Department. Real time feedback in the debriefing session was given. The evaluation of the workshop was collected from the participants at the end of training.
Result & Outcome :
Total 66 KEC outreach nursing team colleagues with different ranks participated in four structural simulation train-the trainer workshops. The participants were Registered Nurse (n=46, 70%), Advanced Practice Nurse (n=19, 29%) and 1 Ward manager. All participants (n=66, 100%) agreed the scenario-based simulation training was practical for use in the real setting and the workshop enhanced the skill and knowledge on emergency situation. Moreover, they were also appreciated the training could provide an experience of the real challenges that they might encounter. Conclusion This simulation training program enhanced the capability of Community Outreach Nurses as a facilitator to conduct the workshop in their own department. Moreover, an educational video will be produced for new staff coaching and refreshment on the way forward.
