Skills and Knowledge enhancement Program for PCA to improve Patient safety through PDCA Approach

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Abstract Description
Submission ID :
HAC754
Submission Type
Authors (including presenting author) :
Law YKB(1), Wong CL(1), Ho KWE(1) , Siu WL(1), Suen PN(1), Cheung WC(1), Li WY(1),Tang KY(1), Tsang WY(1)
Affiliation :
(1) Department of Medicine and Geriatrics, United Christian Hospital
Introduction :
The shortage of patient care assistants (PCAs) in the public healthcare sector has impacted patient care quality. Manpower shortage at the United Christian Hospital (UCH) has posed challenges in maintaining optimal patient care standards. To address this, a specialized training program, “2DM PCA Skills Boost+”, was developed to enhance PCA competencies in four key areas: infection control, restraint techniques, patient transfer, and electronic vital signs input. The program, structured around the Plan-Do-Check-Act (PDCA) cycle, aims to standardize caregiving practices, enhance patient safety, and foster a culture of quality care.
Objectives :
1) To strengthen the clinical skills of PCAs in infection control, restraint techniques, patient transfer, and electronic vital signs input.
2) To ensure adherence to caregiving standards.
3) To enhance patient safety through improved PCA knowledge and competencies.
Methodology :
10 PCA were recruited into in the program, which was launched in second quarter of 2024 and continued until first quarter of 2025. The training structure included four modules delivered through small groups using videos, e-learning resources, and cue cards. The modules covered infection control, safety restraint techniques, patient transfer, and electronic vital data input.
PCAs participated in return demonstrations and were assessed by verified audit forms to ensure compliance with standards. Pre- and Post-Assessments by Multiple-choice questions (MCQs) were administered before and after the training modules to measure knowledge improvement among the PCAs. Feedback was collected using a Likert scale to evaluate the effectiveness of the program.
Result & Outcome :
Pre- and post-test scores were compared upon the completion of the four modules, the results as below:
In Module 1 (Infection Control Refresher): Full score obtained increased from 50% to 100%.
In Module 2 (Safety Restraint Techniques): At least 50% correct answers increased from 78% to 90%.
In Module 3 (Patient Transfer Refresher): Achieved 50% correct answers increased from 56% to 81%.
Finally, in Module 4 (Electronic Vital Data Input): Acquired 85% correct answer increased from 60% to 100%.
Participants generally expressed satisfaction with the program. They felt that the program could help to improve their skills and competence.
The satisfaction ratings for the different modules ranged from 77% to 90.9%, indicating a strong overall approval.
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