Proposed Topic (Most preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Proposed Topic (Second preferred): :
Staff Engagement and Empowerment (motivating staff / teamwork / work revamp tackling manpower issue / staff wellness / OSH / retention)
Authors (including presenting author) :
Cheng PYI(1),Sit H T(1),Dr Leung SF(2), Cheung CK (2) DENG Zhenping (2), Lam L Y (2),
Lam S M (2), Lam Y Y (2), Ngai Y (2), To C L (2) Wong C H (2)
Affiliation :
(1) Pamela Youde Netehrsole Eastrn Hospital, (2) School of Nursing,The Hong Kong Polytechnic University
Introduction :
Psychiatric simulation training is recognized as an effective training tool to deal with real-life clinical situation in a safe and no-harm environment, and also promotes active learning among healthcare workers. Overseas studies have shown its significant effect on caring attitude, clinical competence and team efficacy. It remains unknown whether psychiatric simulation training would be similarly effective in Community Psychiatric Service of Hong Kong.
Objectives :
1. To assess the change of caring attitude, clinical competence, and team efficacy of participants trained by psychiatric simulation training from pre-intervention to post intervention, 1-month follow-up, 3-month follow-up and 6-month follow-up.
2. To explore the experience of psychiatric simulation training on (i) caring attitude, (ii) clinical competence, and (iii) team efficacy from the perspective of both participants, and psychiatric simulation trainers.
3. To explore the effectiveness of psychiatric simulation training on (i) caring attitude, (ii) clinical competence, and (iii) team efficacy from the perspective of both participants, and psychiatric simulation trainers.
Methodology :
A mixed method study including a prospective quasi-experimental (pretest-posttest) design and focus group interviews were employed. Mental health professionals of Community Psychiatric Service of two clusters and qualified simulation trainers were recruited for the study. The Human Factors Skills for Healthcare Instrument and a validated Self-Evaluation Form of Skill competence were used to collect quantitative data at different time-points. Six focus group interviews were conducted to gain an in-depth understanding of the experience and effectiveness of psychiatric simulation training.
Result & Outcome :
Sixty-four participants including nurses,psychiatrists, medical social workers and occupational therapist joined the study, and they had very positive feedbacks about the simulation training with 95.3% of satisfaction rate. Friedman’s test was performed using IBM SPSS Statistics 28.0 and identified a positive significant improvement in caring attitude, clinical competence, and team efficacy of participants across different time-points from pre- to post-training. Such improvement was well sustained at 1-, 3- and 6-month follow-up (p< 0.001). Also a significant improvement took place in participants’ caring attitude (p=0.028), clinical competence (p=0.003) and team efficacy (p=0.004) between the 1- and 3-month follow-up which was notable sustained at 6-month follow-up. The content analysis of the focus interviews (n=43) further underscore an improvement in caring attitude, clinical competence, and team efficacy, thereby supporting the quantitative findings. Our study advocates for further investment more resources into the development of psychiatric simulation training to foster professional competence and enhance service quality. This could lead to improved patient care and outcomes in return.
