Proposed Topic (Most preferred): :
Clinical Safety and Quality Service II (Projects aiming to enhance clinical safety and outcomes, clinical governance / risk management)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Authors (including presenting author) :
CHAN MY(1), CHAN YM(2), CHO HW(1), CHU KL(3), FUNG WM(1), HUI CM(2),
KONG YM(5), LAM KK(5)(8), LAM PY(4), LAU SY(6), LIM J(6), NG SW(2), TONG KW(2), TSANG WL(6), TSUI MY(7), YAU J(3), CHEUNG KY(2)(8),CHUNG C(2)(8)
Affiliation :
(1)Ear, Nose & Throat Department, (2)Nursing Services Division, (3)Anaesthesiology and Pain Medicine, (4)Intensive Care Unit, (5)Accident & Emergency Department,(6)Department of Surgery, (7)Department of Medicine and Geriatrics, (8)United Christian Hospital Resuscitation Training Centre
Introduction :
Patients with tracheostomy commonly managed across different clinical settings. Enhanced understanding of the management of tracheostomy will provide better patient care, while complications will lead to poor clinical outcomes. To enhance knowledge and skills transfer of tracheostomy care among UCH staff, two simulation-based education workshops organized by the Nursing Service Department and Resuscitation Training Centre. This 3.5-hour workshop focused on enhancing participants to apply critical skills and knowledge, based on the Hospital Authority guideline. Participants expected to form a team to manage tracheostomy related emergencies, including bleeding, obstruction, and displacement. The workshop fully reviewed by representatives from inter-professional group, including doctors and nurses from Accident & Emergency Department, Anaesthesiology and Pain Medicine, Department of Medicine and Geriatrics, Ear, Nose & Throat Department, Intensive Care Unit, Nursing Services Division and Surgery Department.
Objectives :
To evaluate the workshop design, curriculum, and teaching methodology for further improvement
Methodology :
After-class evaluations conducted to identify feedback from participants.
Result & Outcome :
In Sep and Nov 2023, 48 participants attended the workshop, 87% of participants agreed and strongly agreed that the workshop demonstrated how to perform common procedures related to tracheostomy. 97% of participants agreed or strongly agreed that the training met their expectation.
Participants put forth various suggestions to enhance the workshop. In addition to recommending more scenarios for assisting doctors in tracheostomy tube change procedures, they proposed allocating additional teaching on introducing different tracheostomy tubes and equipment. Moreover, they expected more detailed discussions and debriefing on clinical guidelines of managing tracheostomy emergencies. Some participants also advocated for extending the workshop's duration.
Knowledge of participants improved after the workshop. Of all 48 participants, 29 (60.4%) correctly answered for more than half of the questions in the pre-test; and 18 (37.5%) below half. The scores were improved in post-test, with 91.6% (44) correctly answered for more than half of the questions.
The use of simulation-based education workshop demonstrated a favourable response about acquisition and application of knowledge and skills to manage different in a simulated environment. The workshop will be expanded to provide training to cluster level.
