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) :
Ho HS (1)(3), Tsai MK (1)(3), Ng SK (1)(3), Wong KM (1)(3), Wei CY (1)(3), Tsoi SCT (2)(3), Lam WY (1)(3), Wo SY (1)(3), Ko YM (1)(3), Lam YF (1)(3)
Affiliation :
(1) Department of Medicine, (2) Nursing Services Division, (3) Pamela Youde Nethersole Eastern Hospital
Introduction :
In prevention of the outbreak of hospital acquired infections (HAIs), health care workers especially supporting staff (care-related) play a key role in infection prevention and its spread in hospital. However, they are facing incomplete information, high degree of uncertainty and incommensurate demands during patient care. Studies showed a practice-based intervention in which participants learn to solve multidimensional problems or make clinical decisions that can promote HAI control and prevention. A new training model of scenario based simulation training was implemented for supporting staff (care-related) to increase the awareness of infection control measures and capability of handling clinical challenges, and thus HAIs prevention in Department of Medicine, PYNEH.
Objectives :
To evaluate the effectiveness of using high fidelity scenario based simulation training on awareness of infection precautions and situation awareness in facing clinical challenges in team based approach for supporting staff (care-related).
Methodology :
3 identical simulation training sessions were conducted for supporting staff (care-related) in Department of Medicine, PYNEH in May 2023. 1.5 hours’ program included lecture, scenario-based training with high fidelity and using UV Fluorescent dye technology in infection precaution and debriefing on performance immediately. Pre and post training questionnaires with 6 Likert survey scales were used to compare the efficacy of training, with a focus on (1) knowledge and skills regarding infection control practices in clinical area, (2) awareness of environmental contamination and self-contamination in caring patient with transmission-based precautions and (3) communication and interaction with team members in patient care management.
Result & Outcome :
Among 17 of 18 participants who completed the questionnaires, 53 % had less or 3-years working experience. After training, there was an improvement by 9 % in awareness of prevention of environmental contamination and self-contamination in caring patient with transmission-based precautions. The understanding in situation awareness and prompt reporting in facing clinical challenges was increased by 10 %. The overall satisfaction score was 5.31 / 6. Participants expressed it provided a good opportunity to reflect on areas of practice requiring improvement during debriefing.
In conclusion, simulation training was effective in enhancing supporting staff’s awareness in prevention of HAIs and capability of handling clinical challenges. It filled up the gap between knowledge and clinical practice. Also, patient safety was assured.
