Authors (including presenting author) :
KO W(1), KWONG A(1), WANG J(1), FUNG F(1), LEE LL(1), FUNG K(1), LAI YP(1), YEUNG KK(1), CHAN LK(1),
LAU WK(1), SU KY(1), CHEUNG PC(1), YEUNG WY(1), YANG KY(1)
Affiliation :
(1) Department of Family Medicine & Primary Health Care, Queen Mary Hospital
Introduction :
For the past ten years, due to a shortage of nursing professionals, many nations are currently experiencing a crisis. (WHO 2022). The heavy workloads and insufficient resourcing, burnout, and stress are the drivers for nurses’ turnover and leaving. To address this issue and its potential effects on the public healthcare system, several nations have been making significant efforts to expand the number of registered nurses. In our Family Medicine & Primary Health Care Department (FM&PHC) of Hong Kong West Cluster, we identified the presence of a severe turnover of 25.8% of nurses during 2021-2022. In response to the critical shortage of qualified registered nurses working in FM&PHC, a comprehensive training program “the Orientation and Induction Program Training for New Joined Nurses” is developed for nurse retention.
Objectives :
This program aims to provide a tool, evidence-based strategies, and resources to ensure the competence of new staff in clinical practice. We hope that this training program can enhance and standardize the performance of newly joined nurse working in FM&PHC to provide quality care.
Methodology :
Methodology
The establishment of the Orientation and Induction Program training manual is developed. It comprised eight main learning items for the trainee.
1. General Daily Clinic Operation
2. Health Assessment / Documentation
3. Nursing Procedures and Practice
4. Special Nursing Skill
5. Team Works and Collaboration
6. Clinic Management and In-house Guidelines
7. Risk Management
8. Clinic Management
Implementation
A 12- week training program “the Orientation and Induction Program Training for New Joined Nurses” is achieved successfully through department mentorship.
Result & Outcome :
Results & Outcome
From January 2021 to October 2022, 8 trainees received the program and completed the self-assessment and interim program assessment for trainees in the interim and the final month of the training session.
Staff evaluation survey form was collected from 8 trainees after completion of the program, there was significant use of the training program in their clinical practice and satisfaction of their learning needs. It is useful for them to understand the recent and future development of services in the Primary Health Care setting and get more familiar with nursing assessment tools to facilitate care planning.
How useful can the training program be to your clinical work/practice?
Rating: 62.5% strongly agree and 37.5% agree. (Pie chart)
Do you find the structured care activities within the training program satisfied your learning needs?
Rating: 50% most useful and 50% useful. (Bar chart)
Are you satisfied with the nurse induction and orientation training program?
Rating: 62.5% most useful and 37.5% useful. (Bar chart)
Understand the recent and future development of services in the Primary Health Care setting.
Rating: 62.5% strongly agree and 37.5% agree. (Bar chart)
Utilize nursing assessment tools to facilitate care planning and referrals making based on patient's needs
Rating: 50% strongly agree and 50% agree. (Pie chart)
Conclusion
With the implementation of the comprehensive training program, newly joined nurses become well-prepared and more confident in providing work standards in Primary Health Care Nursing. And this training strategy can help the nurses for preparation of future development, such as Risk Assessment and Management Clinic Nurse Training, Smoking Cessation Training, Public Private Partnership Program, Wound Clinic Nursing, and Nurse and Allied Health Clinic Case Manager Training.
