Authors (including presenting author) :
Lai Yuk Ling Aries
Kan Sin Yu
Lee Siu Ping
Pang Yuk Kum
Yuen Siu Ling
Affiliation :
General Surgery
Introduction :
Hospital Authority (HA) is the major public sector for providing the health service to the Hong Kong residents. Pressure Injury (PI) rate is one of the nursing quality indicators of the hospitals under HA. The prevalence of hospital acquired pressure injury (HAPI) was 1.75% in the year of 2019/2020 (Hospital Authority, 2019-20)1. Department of Surgery, Queen Elizabeth Hospital (QEH) got HAPI rate of 2.46 per 1,000 inpatient bed in 4Q of 2020 (Hong Kong Hospital Authority, 2019-2020). Increasing the staff’s awareness and enhancing their knowledge and skills of PI prevention is crucial in achieving reduction of PI and sustaining safe and quality nursing care
Objectives :
Reduction of Pressure injury rate and sustaining safe and quality nursing care by increasing the staff’s awareness and enhancing their knowledge and skills of Pressure injury prevention.
Methodology :
Scenario based workshops with the use of manikin and clinical equipment was organized. Alpha test was performed before commence training. Using clinical scenario simulation can bring learners closer to the clinical practice so as to help the teaching-learning process and help to update the skills for prevention of PI (Alessandra Mazzo, 2018)2. Pre and post training assessments were used to evaluate participants’ understanding to theory update while the on-site assessment by facilitators in workshop can assess participants’ skill practice competency. Debriefing session allows further exploration and clarification to consolidate the knowledge and skills learned. Eye catching posters, signage, slogans are purposed in continue education and promotion on the strategies of PI prevention.
Result & Outcome :
In the first phrase of training, 10 and 8 identical training sessions were conducted in 2021 for Patient Care Assistants (PCA) and nurses respectively.
Around 98% Patient Care Assistants (PCA) and 27.4% of nurses in all Surgical wards were attended the corresponding workshop in 1Q and 4Q 2021 respectively.
Both training programs would be continued in 2022.
Chinese Slogans with graphic were printed in the poster for increase staff awareness in the Pressure Injury Prevention Strategies which was posted in all Surgical Wards in the 1Q 2021.
In 3Q 2021, Educational Poster on skin observation and application of skin barrier cream was published to increase awareness of supporting staff in skin observation during napkin changing and as reference guide in application and removal of skin barrier cream. Bed head signage to display the Pressure Injury Prevention Strategies implemented for individual patient were designed and adopted in all surgical wards.
The prevalence of hospital acquired Pressure injury (HAPI) was 2.19 in 2019 and 2.46 in 4Q 2020 per 1,000 inpatient bed in Department of Surgery of QEH. It was 1.91 in 3Q 2021.
