Authors (including presenting author) :
Siu CS, Siu KY, Chan LP, Ho NF
Affiliation :
Department of Medicine and Rehabilitation, Tung Wah Eastern Hospital
Introduction :
In healthcare settings, swift and effective use of resuscitation equipment is vital during emergencies. Proficiency is crucial for patient safety, however, insufficient training and low self-efficacy may lead to poor outcomes.
At a rehabilitation hospital with infrequent emergencies, staff may become less confidence in operating those equipment that are not often used despite initial thorough training.
Thus, an enhancement program on development of targeted training was implemented to identify and improve specific equipment-related competencies. This proactive approach ensures remain well-trained, prepared and confident, ultimately enhancing patient safety and care.
Objectives :
To assess and enhance competence and confidence for nurses using portable ventilator (OxylogVE300) and mechanical chest compression machine (LUCAS) on patients.
To standardize the training material and assessment method.
To assess the effectiveness of the OxylogVE300 and LUCAS enhancement program.
Methodology :
Method:
A need assessment survey was conducted for analysis of the staff knowledge gaps and efficacy regarding the use of OxylogVE300 and LUCAS. A high percentage of nurses self-reported lack of confidence in operating the OxylogVE300 and LUCAS during resuscitation.
Enhancement program was implemented from August to October 2024, including standardized training materials (operation guides, quick guide, and troubleshooting) were developed to facilitate training content consistency. A focused and targeted training sessions withy practical return demonstration (PRD), coupled with Train-the-trainer (TTT) model were conducted.
Quasi-experimental single cohort pre-test and post-test study was designed for evaluating nurses’ knowledge test, self-rated confidence and competency.
Result & Outcome :
Result:
100 nurses (EN, RN and APN) were trained and all responded to the questionnaire. Paired t-test showing a statistically significant improvement in their skill levels and confidence in using OxylogVE300 and LUCAS with p<0.005 after training. The course evaluation also showed that nurses were satisfied with the training format, mode of delivery and standardized training materials.
Conclusions:
The enhancement program is effective in equipping staff with the necessary skills and confidence in using resuscitation equipment, laying a strong foundation for ongoing improvements in emergency response capabilities within the healthcare setting. The standardized training material is a fast and effective means for equipment operation skill. In the future, the PRD and TTT model could be conducted regularly as refresher training to further bolster nurses' competencies in emergency patient management. Additionally, the incorporation of simulation training sessions for the use of OxylogVE300 and LUCAS could be explored to offer additional experiential learning opportunities.
Benefits and Implications:
By assessing staff training needs, developing targeted training programs, utilizing appropriate training methods, fostering a culture of learning, and significantly enhance their emergency response capabilities. This rounded approach improves staff skills and ultimately improves clinical outcomes and patient safety.
