Proposed Topic (Most preferred): :
Staff Engagement and Empowerment (motivating staff / teamwork / work revamp tackling manpower issue / staff wellness / OSH / retention)
Proposed Topic (Second preferred): :
HA Young Investigators Session (Projects to be presented by HA staff who had joined HA for 10 years or less)
Authors (including presenting author) :
LAM WY (1), CHAN SF (1), CHEUNG HH (1), CHEUNG KT (1), LI CY (1), LI PM (1), TSANG SW (1), YIP CH (1), HO SM (1), CHAN HL (1), HO PY (1), YUE SS (1), NG SW (2), NG YB (1)
Affiliation :
(1) Department of Medicine & Geriatrics, United Christian Hospital
(2) Nursing Services Division, United Christian Hospital
Introduction :
Cases of acute respiratory failure requiring invasive mechanical ventilation pose heavy burden in hospitals of Hospital Authority (HA). According to the statistics in Mobile Ventilator Service programme under HA, 1311 intubated cases in Department of Medical and Geriatrics (M&G) of five hospitals were recruited from November 2021 to April 2023. In a review conducted by a workgroup in the Department of M&G of United Christian Hospital (UCH) showed that frontline nurses were not familiar with extubation process, possibly resulting in adverse consequences and even safety issues. This report highlights the significance of enhancing nurses’ knowledge and skills in general wards during extubation process.
Objectives :
(1) To enhance knowledge in extubation care;
(2) To strengthen skills in extubation care; and
(3) To provide satisfying learning experience
Methodology :
A workgroup was set up with different ranks of nurses including Respiratory Nurse Consultant, Advanced Practice Nurses in respiratory ward and Registered nurses in UCH. The workgroup planned the training session composed of lecture, three stations in workshop and cue card of the extubation process with two CNE points granted in September 2023. The lecture covered the nursing care in the process of preparing extubation, the extubation procedure and post extubation based on clinical standards and updated literature. The knowledge level of participants was evaluated by comparing test scores before and after the lecture. For skill workshop, it included equipment demonstrations and scenario-based simulations with reference card provided. The skill level was evaluated by a checklist during simulation. An evaluation form was used to evaluate nurses’ satisfaction of learning experience after the program.
Result & Outcome :
Twenty participants were attended the program with an average of 6.9-year experience.
In knowledge level, the average scores of participants were significantly improved from 44.2% in pre-lecture test to 79.2% in post-lecture test (p<0.05).
In skill workshop, participants were able to obtain 100% compliance rate in over 80% items of the checklist. All critical items were achieved. Feedback was given to participants regarding the missed items after the workshop.
In evaluation, all participants (100%) were satisfied with the programme regarding the learning experience, and agreed the programme was useful and practical, suggesting to hold more sessions in future.
Conclusions:
The enhancement programme was effectively enhanced the knowledge and skills of participants in nursing care of the extubation process. It also highlights and identifies the area of importance in continuous education and training to ensure optimal care for patients undergoing extubation.
