Authors (including presenting author) :
Sy YW(1), Chan KH(1), Lui KL(1), Ho HS(2), So HM(2), Wong KK(2), Kung WC(1), Tsang TH(1), Tan WY(1), Hon WL(1), Yu MH(1), Wong KW(1), Li CM(1)
Affiliation :
(1)Department of Surgery, Pamela Youde Nethersole Eastern Hospital, (2)Nethersole Clinical Simulation Training Centre, Pamela Youde Nethersole Eastern Hospital
Introduction :
Bladder irrigation following TURP is crucial for preventing clot formation and maintaining urinary tract patency. However, potential complications can pose serious risks to patient safety. Utilizing simulation training enhances nursing skills and decision-making in complex clinical scenarios. It fosters teamwork and improves patient safety by allowing nurses to practice and refine their responses to potential complications in a controlled environment. We developed a groundbreaking training program aimed at enhancing the skills of urology nurses. This initiative seeks to elevate the standard of specialized nursing care, ultimately improving patient outcomes and fostering clinical competence in the field.
Objectives :
To enhance critical thinking and problem-solving skills on nursing management for post-TURP patients. Develop the competence of registered nurses in order to ensure a high standard of specialized care for urology clients. Provide interactive learning experience that will encourage nurses to develop the skills of analysis and critical awareness.
Methodology :
A pioneer 2-hour workshop with self-developed artificial bladder was designed to prepare nurses to handle the complexities of caring for patients with post-TURP blockage of CBI by simulating real-life scenarios. The workshop provided hands-on practice with various interventions, including troubleshooting CBI systems, identifying signs of complications, and emphasizing the importance of effective communication and teamwork. Outcomes were evaluated through: 1) pre-and post- evaluations with same questions assessing participants’ understanding of rationale behind CBI, and 2) 10 item 6-point Likert scale of overall training evaluation that included feedback on the simulation design, debriefing and overall experience.
Result & Outcome :
Three classes, each with 3 surgical ward nurses, were delivered from April to June 2024. Among 9 participants, 66% had more than 5 years of working experience, the remains had less than 5 years. The mean score for pre-evaluation questions was 60/100, while for post-evaluation was 89/100. The overall rating for the training was 5.5/6. Participant comments included: “Good selection of scenario,” “Very useful in clinical practice,” “Artificial bladder highly reflect real situation”. These findings advocate the development of simulation training as a routine practice within urology nursing development to foster clinical competence to manage post-TURP patients and enhancement on service quality.
