Authors (including presenting author) :
Ho KWE(1), Chan LC(2), Chau MY(3), Chui TW(4), Ng YB(5), Tsang WY(6), Law SL(7), Tang SK(8)
Affiliation :
M&G Clinical Teaching Team, NSD, UCH
Introduction :
Under COVID-19 pandemic since 2020, all clinical learning and practicum for the pre-registration nursing students was suspended or trimmed, leading to limited clinical learning opportunities and exposure, which may result in incompetent nursing role. Simulation has been long utilized in nursing education. It is so beneficial that can provide a bridge between theory and clinical practice under safe environment before delivering care to patients. Therefore a 1-year structural bundle department induction program was developed to meet their training and learning needs ultimately empowering the nurses in caring patients with diversity needs.
Objectives :
1.) To enhance junior nurses’ clinical knowledge and skills 2.) To ensure patient safety through standardized nursing care 3.) To nurture and cultivate junior nurses’ holistic care attitude
Methodology :
The program is targeted at the junior nurses in their first 2 years of joining the department and divided into 3 phases. Phase 1: Skill Enhancement Workshop and Guided Tool Booklet Development - A list of bedside procedures commonly encountered in the department, related psycho-motor skills demonstration and return demonstration were focused in a 1-day skill enhancement program. Also, a colored and guided booklet with pictures was designed for nurses as a point-of-care tool. Nurses can make evidence-informed decisions by referring the tool at any time. Thus, the skills and quality of care were enhanced. Phase 2: Holistic Care Management through 3-Days Simulation Training - This 3-day induction program included lectures delivered by various expertise with different specialties qualification, and followed by simulation scenarios with debriefing sessions. Incorporating case management of complex clinical situations, medication administration and sharing of clinical guidelines and incidents into simulation scenarios offered opportunities to improve knowledge and skill so as to promote patient safety. Phase 3: Case Study Sharing - Case study analysis and presentation is prepared by the nurses based on their ward specialty. It is planned to be conducted in 2Q 2022. This promotes reflection and mutual learning among the junior nurses which facilitates the development from primary practice to specialized care.
Result & Outcome :
A follow-up evaluation was done after 2 months of the program commenced. The overall participants’ satisfaction rate was 5.64 out of 6. Moreover, 97.8 % participants agreed that simulation scenarios were up-to-date to what they have experienced in real clinical settings. Further to this, 100 % participants agreed that knowledge attained from simulation is applicable to daily clinical works and helped them to deliver a safer nursing care simultaneously.
