Authors: (including presenting author): :
TANG H (1), CHAN WL (1), LAM WM (1), LAI SO (1), CHEUNG LM (1) WONG E (1), WONG A (1).
Affiliation: :
(1) Accident & Emergency Department, Tin Shui Wai Hospital.
Introduction: :
Tin Shui Wai Hospital (TSWH) commenced 8 hour Accident & Emergency (A&E) service on 15 March 2017 and 24 hours service on 21 Nov 2019. It serves around 300,000 populations in TSW district. A new nursing team has been forming and going through different stages with different challenges.
Objectives: :
To execute staff engagement activities
To maintain team spirit and promote “happy staff”.
Methodology: :
Deming Cycle (PDSA)
Plan: Identifying the problems
Staff- mix analysis (in A&E experience) : novice (< 1 year: 10%), junior (1-3 years: 24%), senior (> 3 years: 66%, in which 4-10 years: 19% and > 10 yrs 47 %).
Daily attendance: 392 per day. The top five among 18 A&Es. Staff came from different departments with different background. Overwhelming figures lead to stress.
Do: Test solutions.
Developed programs to engage staff e.g. coaching system, preceptor-ship program; Pilot training program (every nurse as speaker so as to achieve “they teach & they learn”)
Study: Study results
Assessed the effectiveness and injected new initiatives for the pilot and trials.
Act : Implement the best solutions
Engaged all nurses to divide into 12 teams to manage 30 Subcommittees e.g. infection control, Fall prevention & drug safety etc. Encouraged to implement improvement projects to increase sense of belonging and self-actualization.
Regular meetings to review manpower to cater high attendance and high Inter-hospital Transport (IFT) cases.
Encouraged to coordinate and participate programs in community e.g. CPR training to secondary school students, health care staff in Mainland China and Community CPR Marathon and school talk so as to enhance staff’s engagement & confidence.
Result & Outcome: :
55% (nurses) expressed stressful i.e. rating 1-5 (high stress level 1 to 10 low stress level). However, 77% expressed “very happy” at work i.e. rating 8-9 (unhappy 1 to 10 very happy) and 18% rated 10. 95% of staff expressed they were “fully engaged”.
Conclusion:
Happy staff is not a slogan. Engage colleagues is a good way to make happy. Steve Jobs stated that “The only way to do great work is to love what you do”. The only way to build a great team is to love your team.
