Authors (including presenting author) :
YC Kam(1), CYY Leung(1), KH Chung(1), YT Yu(1), EHH Kam(2), WPM Chang(3), SL Yuen(1)
Affiliation :
(1)Queen Elizabeth Hospital(2)Our Lady of Maryknoll Hospital (3) Kwong Wah Hospital
Introduction :
Percutaneous Nephrostomy and Suprapubic Catheter are crucial in managing different urological conditions. However, patients living with PCN and SPC, multiple complications will also come along with the catheter including catheter blockage, dislodgement and catheter site infection etc.. These complications result in unplanned readmission, imposing negative impacts on patients’ quality of life and increasing the financial burden for the healthcare field. In response to the diminishing manpower of specialty nurses and increasing number of newcomers, an enhancement program was organized for nursing staff in Kowloon Central Cluster (KCC). The aim of the program is to enhance the urological knowledge of junior nursing staff and align the routine practice of PCN and SPC nursing care.
Objectives :
To enhance the knowledge of PCN and SPC among nursing staff, which highlights the introduction of drain fixation dressing to mitigate complications. The goal is to strengthen the ability of nursing staff to manage PCN and SPC in clinical settings effectively and safety.
Methodology :
In July and September 2024, Nurse Consultant (Urology) KCC/ QEH delivered a live and Zoom lecture related to PCN and SPC care, followed by a hands-on practice workshop with video demonstrations. A pocket guide of PCN and SPC material was also designed for all surgical nursing staff as a quick reference. The Nurses from the Department of Surgery in KCC and those who are interested in PCN and SPC care were recruited. A competency checklist and a pre- and post-test were used to evaluate the program’s effectiveness.
Result & Outcome :
A total of 181 nursing staff were recruited. Analysis of pre- and post-lecture tests showed a remarkable increase in passing rate from 54.8% to 95.2%. Approximately 80% of participants were able to identify different types and benefits of PCN after the lecture. All participants successfully passed the return demonstration of PCN and SPC skills. Evaluation indicated that over 90% of participants agreed the program improved their knowledge and skills in PCN and SPC care, and all became more competent in these areas. Furthermore, 100% of participants would recommend the workshop to other nursing staff. This program showed a beneficial impact in aligning PCN and SPC care practice. Nursing staff's confidence and competence in managing these procedures have significantly improved, leading to better patient outcomes and resource allocation.
