Integrating simulation training into the clinical nursing practice of perioperative care in a neurosurgical setting

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Abstract Description
Submission ID :
HAC895
Submission Type
Authors (including presenting author) :
Lai SP(1), Kan BSP(1), Cheung, CL(1), Wong, OC(1), Choi, P(1)
Affiliation :
(1) Department of Neurosurgery, Queen Elizabeth Hospital, Kowloon Central Cluster of Hospital Authority
Introduction :
Simulation-based training has been widely adopted as an effective and safe training method in health care and it has been reported that health care professionals and services can be benefited by simulation training in reducing human errors and promoting patient safety. In view of the newcomers and newly graduated nurses allocated to work in the neurosurgical department may not have experience or may not be familiar with the perioperative care for the neurosurgical patients, therefore, a scenario based simulation training was held to enhance their competence, so as to maintain the safety and quality of care provided to our patients
Objectives :
The objectives of the simulation training on perioperative care carried out in a designated neurosurgical setting were to 1) reinforce the knowledge and skill on the perioperative care; 2) identify the strength and weakness of the current practice; 3) formulate the improvement measures of the nursing care; 4) enhance the speak up culture among the clinical team; 5) allow simulation instructors to apply practice after simulation course
Methodology :
A scenario based simulation training with the use of a standardized patient was conducted in a neurosurgical setting. Participants were chosen randomly from the duty list and role was in a random assignment. A debriefing session was carried out after the scenario. A 4-point likert scale satisfaction survey was performed to evaluate the scenario based simulation training.
Result & Outcome :
Nine participants took part in the scenario based simulation training, all of them reflected that the training was relevant to their job. The mean score of the following aspects were between 3.11 - 3.44, such as “the simulation meets the objectives”, “organization”, “duration”, and “level of difficulty”. On the other hand, the mean score on “equipment and facility” was 2.78. Overall, 33.33% of them reported that the simulation training ran in an excellent quality while 66.67% of them rated the training was in a good quality. Narratively, participants described that the SBAR communication and speak up culture were reinforced.
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