Authors (including presenting author) :
Wong LT (1), Wong WM (1), Tsang WY (1)
Affiliation :
(1)Renal Unit, Department of Medicine & Geriatrics, United Christian Hospital, Hong Kong SAR
Introduction :
Preceptees in the renal ward faced challenges in managing renal specialty cases, particularly with peritonitis and Tenckhoff (TK) catheter insertion. To address these issues, quick reference guides on peritonitis management and post-TK insertion care were developed and implemented in February 2024 to enhance clinical competence and confidence.
Objectives :
1. Outline workflows: Establish clear workflow for managing peritonitis and post-TK insertion cases
2. Enhance case management: Support preceptees in effectively managing renal cases pertaining to peritonitis and TK insertions
3. Address misconceptions: Clarify common misconceptions regarding the care of peritonitis and post-TK insertion care
Methodology :
This project utilized a retrospective cohort study design. Eight renal preceptees in ward 5D at the United Christian Hospital from 2023-2024 were invited to join the program. Quick reference guides with QR codes attached were distributed to the preceptees. Preceptees were instructed to refer to the quick reference guides when managing peritonitis or post-TK insertion cases. The Nurse Professional Competence Scale Short Form (NPC Scale-SF), consisting of 35 validated items, was adopted to assess the competence levels of participants. Participants were invited to self-administer an online survey before and 6 months after the quick reference guides launched. Confidence level was measured by a 10-point likert scale in a separate question. Pre and post implementation scores were collected and statistically analyzed using a paired t-test.
Result & Outcome :
Preceptees demonstrated significant improvements in competence and confidence following the implementation of the quick guide:
- Competence scores on the NPC Scale-SF showed a notable increase (p=0.009) with pre-intervention mean score 97.5 (SD 14.7) and post-intervention mean score 118.75 (SD 14.3).
- Confidence levels among preceptees also significantly improved (p=0.0005) with pre-intervention mean score 5.6 (SD 1.1) and post-intervention mean score 8.1 (SD 1.3).
The implementation of quick guides on peritonitis management and post-TK insertion care effectively enhanced both the competence and confidence levels of preceptees in the renal ward. It is suggested that the program shall be applied to all nurses especially new staff in ward 5D.
