Authors (including presenting author) :
Yip H(1), Tsoi CM(1), Lau MC(1), Wong KW(1), Man KN(1), Ng PY(1), Chow CY(1),Lam MW(1), Sung SC(1), Kwan WY(1), Yuen WH (1)
Affiliation :
(1) Department of Medicine & Geriatrics, Pok Oi Hospital
Introduction :
A Mechanical Chest Compression System (MCCS) was introduced throughout the Department of Medicine & Geriatrics (M&G) since 2021 to improve patient survival with better neurological outcomes after resuscitation. This is depended on the appropriateness and effectiveness in using MCCS with comprehensive approach. However, there is a lack of nurses with the related experience in M&G. A transition-to-practice training was implemented to echo the above needs for enhancement of nurse's competency using MCCS in resuscitation.
Objectives :
To survey the effectiveness of the 75-minutes transition-to-practice training by assessing the participant’s knowledge/ skills enhancement using MCCS and understanding of the comprehensive approach to resuscitation with MCCS.
Methodology :
The training was conducted for all nurses in M&G. Multi-faceted training strategies including theory input with video discussion, hands-on training using a manikin with recording the Chest Compression Interruption Time (CCIT) for applying MCCS in the trainer’s demonstration / participants’ return demonstration, and practical sharing were employed. Question & Answer session was arranged before the knowledge test. Finally, trainer would debrief the training content.
To survey the effectiveness of the training, the participants’ knowledge gains and performance in using MCCS were evaluated after training. Some participants were invited for the repeated measures survey in CCIT for applying MCCS and Performance Evaluation.
Result & Outcome :
From May2020 to 27th August 2022, total 99 nurses joined the 75-minute training session. The mean score of the Knowledge Test was 8.99/10. 28 participants were invited randomly to survey their CCIT for applying MCCS. The mean interruption time was 68.2 seconds before training and 22.3 second after training. 27 nurses were arranged randomly for repeated performance evaluation after 1-3 months, the Knowledge Test was 9.11/10 and the average 88.2% of the total success criteria in the Performance Evaluation was achieved.
The above results reflect that proper training can enhance nurses’ knowledge and skill significantly with retention of knowledge for 1-3 months. Indeed, there is no evidence for knowledge retention permanently. Therefore, except appropriate training, it is better to arrange refreshed training for all nurses to maintain their capabilities in resuscitation with MCCS.
