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): :
Research and Innovations (new projects / technology / innovations / service models)
Authors (including presenting author) :
Sung KMD(1),Chak WL(1), Leung FYC(2)
Affiliation :
(1) Renal Unit, Department of Medicine , Queen Elizabeth Hospital
(2) Department of Medicine, Queen Elizabeth Hospital
Introduction :
Evidence-Based Practice (EBP) programs and Skill-Based Simulation Training (SBST) have long recognized importance and benefits in the healthcare industry. Both are powerful tools to advance the nursing standard of care. Combining these two tools creates a synergistic effect that maximizes their benefits.
Objectives :
In the QEH renal unit, a nursing EBP program using pulsatile flushing technique can prevent blockage in the Central Vascular Access Device (CVAD) and minimize the chance of catheter-related bloodstream infection. The technique employs the hydrodynamic effect to create turbulence flow enhancing the removal of the intra-luminal debris. We have strong evidence to demonstrate the effectiveness of this technique and hence advocate a practice change. Ensuring our nurses able to understand the physical concept, mastering the skills, and to provide consistent assessment is challenging. Coupling the SBST into our EBP program could be a resolution. The effectiveness of the SBST requires learners’ active participation and practice under a structural simulation program with appropriate simulators.
Methodology :
The Multidisciplinary Simulation and Skills Centre (MDSSC) of QEH has helped develop a simulator based from our idea, that allows nurse colleagues to visualize the turbulence flow created by the technique in a closed circuit directly. A video demonstration of the technique effect and skill set is available on a QR code for reference. Nurses can understand the theoretical background with ease and acquire the skills through numerous practices on the simulator. Trainer can demonstrate the technique with the desired effect. Nurses acquired the skills through repeated practices on this specially designed simulator until the pulsatile flushing technique can be performed with confident before an assessment. The assessment for all nurses is standardized without any bias, by direct observation under the same simulator. The practice change with patient safety assurance. The feedback from nurses is affirmative in terms of easy understanding of the theory and mastering the specific skill with repeated practices in a safe environment.
Result & Outcome :
In conclusion, integrating the nursing EBP program with SBST is a powerful strategy that involves skills transfer and assessment. This is an innovative and proactive approach to translate theory into practice with minimal risks. The assimilation of these tools enhances the effectiveness and efficiency of practice changes. Ultimately, this leads to better quality and safety in nursing care and optimizing clinical outcomes
