Authors (including presenting author) :
Kwong WY (1), Tang TL (1), Law CY (1), Leung CN (1), Ng SF (1), Chim WW (1), Wong CY (1)
Affiliation :
(1) Child and Adolescent Psychiatry, Castle Peak Hospital
Introduction :
Communication passport is a person-centered and the most effective means to support the communication for people with difficulty in communication. People with Intellectual disability are prone to display behaviour problems when their needs are not met due to communication failure. Its impacts reflected on the frequent readmission, application of physical restraint, carers stress, manpower demand for observation, managing the behavior problems and documentation, staff and patients’ incident and the quality of service as well as the quality of life. In PSID, the application of the communication passport booklet is low due to its complexity of many open-ended questions, difficult to find the care information by carers. In order to increase the application of the communication passport and improve the effectiveness in managing patients’ behavior problem, modification of the booklet by the Positive Behavior Support Group has been implemented since Jun 2024.
Objectives :
to
(1) promote and apply the modified communication passport; (2) improve the service quality; (3) improve the experiences of service users and nurses
Methodology :
A ‘Pre-test’ vs ‘Post-test’ design was adopted and data collected in 6/2024 and 12/2024 respectively.
1. The application of the modified communication passport in PSID Team was launched since 6/2024
2. The communication passport had been provided to the carers upon patient discharge
3. Collect feedback from nurses and carers
4. Subjects were 20 nurses and 40 carers
Outcome measures were categorised as: (1) The application rate; (2) Satisfaction survey of the modified communication passport for nurses and carers including its user friendliness, easily for reference and the information is helpful in communication with patients; (3) Qualitative feedback from nurses and carers; (4) Nurse job satisfaction
Result & Outcome :
The application rate of the modified communication passport was 100%.
82.5% of carers and 100% of nurses preferred the modified communication passport.
Positive feedback from carers revealed ‘clear and concise’, ‘easy for understanding’ and ‘convenient’, while nurses’ positive feedback revealed “better understanding the needs of patients’ and effective in managing their behaviors”, ‘user-friendly’ and ‘not demanding when filling in’.
Nurses’ job satisfaction score increased from 3.9/10 to 8.2/10.
Therefore, the application of modified communication passport should be promoted in PSID, CPH.
