Authors (including presenting author) :
CHEUNG WM(1), LUI MC(1)
Affiliation :
(1)Quality & Safety Department, Kowloon West Cluster
Introduction :
Traditional simulation training on infection control (IC) practice used to focus on handling emergency situation such as resuscitation and transportation of critically ill infectious patients. However, with emerging threat caused by MDRO such as Candida auris, there was imminent need to develop new simulation course which focused on IC practice related to routine nursing procedures, team communication/collaboration, and alertness on avoidance of environmental contamination.
Objectives :
1) To enhance health care workers’ alertness and competencies to manage patients with infectious disease in daily practice
2) To enhance the role of supervisors in the initial response upon identification of MDRO cases or in outbreak situation
3) To strengthen crew resources management in dealing with IC practice
4) To understand the special concerns related to different MDRO especially Candida auris
Methodology :
This course consists of three parts. Participants would first hands on practice on common nursing procedures in skill stations to reflect their usual IC practices through debriefing. Then, an interactive problem-based learning station was set up for participants to discuss on how to respond to different IC-related scenarios. Refreshing their IC concept, two high-fidelity immersive scenarios focusing on application of IC knowledge and skill on real clinical situations were designed for the participants with comprehensive debriefing sessions to reflect on the clinical practice and teamwork. Pre- and Post- course test in MCQ format on IC knowledge and course evaluation by 5-point Likert Scale ranging from “1=strongly disagree” to “5=strongly agree” questionnaire were conducted.
Result & Outcome :
45 participants joined four classes in December 2022 and January 2023. This novel format of simulation training was welcomed by the participants who showed positive feedback in the course evaluation. They gave a mean score of 4.6 to 4.9 in the following aspects: application of IC knowledge, benefits on decision making, IC skills mastering which were relevant to daily work and enhancement of competency on IC practice. An increase in mean score in Post-course test reviewed participants’ IC knowledge was enhanced. Most participants reflected that the course enhanced their understanding on the management of MDRO patients in clinical practice, especially for C. auris patients. As a big step forward, this simulation course will be extended to include supporting staff participants in 2023.
