Proposed Topic (Most preferred): :
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Proposed Topic (Second preferred): :
Staff Engagement and Empowerment (motivating staff / teamwork / work revamp tackling manpower issue / staff wellness / OSH / retention)
Authors (including presenting author) :
Lee WL (1), Cheng SK (1), Cheng YN (1), Cheung, YN (1), Sung KO (1), Chung HY(1), Ward DE1 staff (1)
Affiliation :
(1) Department of Medicine and Rehabilitation, Tung Wah Eastern Hospital(TWEH)
Introduction :
50% of readmission for heart failure is preventable by lifestyle modifications, enhancing drug and diet compliance, early symptom recognition and management. Patient empowerment is an essential resource of self-efficacy (SE), and individuals with high SE perform better in healthy self-management behaviors, treatment regimes, and the use of health resources and results in better health outcomes. Therefore, a nurse led patient empowerment program on self-management for heart failure in CRU was designed and implemented.
Objectives :
Aim: To introduce an updated group education material and self-care management skill for heart failure patients and their main caregivers in CRU. Objective: 1. To enhance heart failure knowledge through group education. 2. To educate self-care management skill on heart failure through individual skill building session for patients and their main caregivers. 3. On-going reinforcement via virtual platform and tele-follow up for heart failure patients’ self-care management skills after discharge. 4. To reduce the readmission rate of heart failure patients in long term.
Methodology :
A pilot study was implemented in CRU from October to December 2023. All the patients with heart failure discharging home in CRU was recruited. Group education on cardiac rehabilitation, patients journey and HA-go application on heart failure had been held weekly. Individual skill building session focusing on blood pressure measurement, edema and weight management had been held while individualized education was conducted according to admission assessment including the admission reasons, risk factors and drug and diet compliance. A virtual cardiac training platform, ‘Cardiac Education Platform’ had been designed for patients’ ongoing access the resources from Hospital Authority (HA). The QR codes were also generated to ease access.
Result & Outcome :
Results: Total 20 patients were recruited in the program. Knowledge test, demonstration check-list had been designed and implemented. Post-discharge tele-follow up was conducted to evaluate the self-care management compliance with informed consent. The average score on knowledge test after program significantly improved and increased from 10.75/19 to 17/19. They all demonstrated correct blood pressure measuring procedure fluently after individual sessions. No re-admission was found in 1 week upon discharge and 100% virtual education platform post-discharge utilization rate was found. Conclusions: Heart failure is a complex chronic condition requiring ongoing monitoring and management. A virtual platform would facilitate nurses to provide educations. Moreover, telemedicine and HA-go apps can allow healthcare professionals to monitor patients’ health status, self-monitoring compliance and timely interventions. Healthcare informatics become important for health care professionals to deliver better care, health information delivery, therefore, leading to better patient outcomes.
