Authors (including presenting author) :
Cheung YH(1), Tong YC(1), Kwok Y(1)
Affiliation :
[1[ Department of Medicine, Haven of Hope Hospital
Introduction :
Patient Care Assistants (PCAs) are essential to the quality of care in orthopedic rehabilitation wards, significantly influencing patient outcomes and satisfaction. The competencies required for PCAs in specialized orthopedic settings often differ from those in other wards. To enhance PCA performance, it is vital to focus on improving their knowledge and skills. This paper outlines the “Excellent-PCA-Program” (EPP), a PCA-centered initiative designed to achieve these objectives at the Haven of Hope Hospital (HHH) Orthopedic Rehabilitation Ward
Objectives :
1. To enhance PCA knowledge and skills through educational opportunities that broaden their clinical understanding, especially in orthopedic-related areas. 2. To improve staff engagement and satisfaction by implementing a PCA-centered program. Methodology
Methodology :
The EPP is designed around the interests of PCAs, promoting engagement throughout the training. It consists of five regularly scheduled sessions covering key topics: (1) Management of special skin conditions; (2) Care for Incontinence associated dermatitis; (3) Understanding bedside care for different multidrug-resistant organism (MDRO) patients; (4) Communication skills and common English terminology in orthopedic care; and (5) Precautions and special care for geriatric hip fractures. A total of 11 PCAs participated in the program, with sessions led by an Advanced Practice Nurse (APN) and trained Registered Nurses (RNs). Knowledge acquisition was assessed using online Google Form pre-tests and post-tests. Each session began with a pre-test quiz, followed by a post-test of the same content. All training materials were made available on an online platform for PCAs to review at their convenience. The program also included a simulation-based training exercise designed to replicate real-life scenarios encountered in the ward, focusing on enhancing both clinical knowledge and skills in a controlled, supportive environment. Formal feedback was collected using a 5-point Likert scale via Google Forms.
Result & Outcome :
The implementation of the EPP was effective, resulting in a significant improvement in PCA knowledge and skills, which contributed to better patient care and enhanced patient experiences. All 11 PCAs completed the program and provided feedback. The average pre-test score was 5.78, while the post-test score increased to 8.76 (out of 10), demonstrating the program's effectiveness. Additionally, 90.9% of PCAs strongly agreed that the program improved their applicable knowledge and skills, with 72.72% expressing interest in specialized knowledge on hip fractures. All PCAs reported high satisfaction and engagement with the program, indicating a desire to participate in similar training sessions in the future
