Proposed Topic (Most preferred): :
Clinical Safety and Quality Service II (Projects aiming to enhance clinical safety and outcomes, clinical governance / risk management)
Authors (including presenting author) :
Chan CY(1), Chan MT(2), Chan OYS(3), Leung YSA(4), Chow WY(4)
Affiliation :
(1) North Lantau Hospital, (2) Caritas Medical Centre, (3) Princess Margaret Hospital, (4) Yan Chai Hospital
Introduction :
With the advancement in diabetes treatment, insulin and glucagon-like peptide-1 receptor agonist have been widely used for glycaemic control, in which insulin is identified as a high-alert medication which bears a risk of causing serious consequences if using inappropriately. Four identical training workshops were conducted in Kowloon West Cluster (KWC) to enhance nurses’ knowledge on diabetic injectable medication between November and December 2023.
Objectives :
(1) To update nurses’ knowledge on diabetes injectable; (2) To enhance nurses’ confidence in safe practice on diabetes injectable; (3) To increase staffs’ alertness of insulin related medication incident.
Methodology :
The training material was designed and reviewed by nurse consultants and associated nurse consultants who are currently working in KWC diabetes center. Each participant was necessary to go through a 45 minutes’ knowledge input with 60 minutes’ simulation workshop and was required to complete a pre & post questionnaire during the training workshop. The questionnaire was used to review participants’ (1) confidence level in performing insulin injection in ward/clinic; (2) confidence level in supervising patient to perform insulin injection in ward/clinic; (3) knowledge on diabetes injectable and (4) alertness on insulin related medication risk.
Result & Outcome :
The 235 participants with the mean of 8.34 years (SD=8.84, range from 0 to 45 years) working experience in nursing field. The majority of staff are working in medical department (38.7%), primary health care & family medicine (16.6%), psychiatric department (13.6%) and community nurse service (8.9%). Paired sample t- test was used to compare the mean score of participants’ (1) level of confident in performing insulin injection; (2) level of confident in supervising patient to perform insulin injection;(3) knowledge on diabetes injectable and (4) alertness on insulin related medication risk. Their level of confident in clinical practice on insulin injection, knowledge on diabetes injectable and alertness on insulin related medication incident are significantly improved after the training workshop by adopting a p-value < 0.05.
Conclusion:
Apart from enhancing nurses’ knowledge on diabetes injectable and their confident in handling of insulin injection, the training program was also effective in promoting nursing staffs’ alertness on insulin related medication incident. Ongoing enhancement diabetes training workshop to nurses is therefore essential.
