Authors (including presenting author) :
CHENG KM(1), LAW CC(1), CHU K(1), FUNG A(1),LAU WM(1), YUEN CW(2), LO HY(1),CHAN CY(1),LO KY(1), CHOI SF(1)
Affiliation :
(1)General Adult Psychiatry Team, Castle Peak Hospital (2) Nursing Service Division, Castle Peak Hospital
Introduction :
Patients with borderline personality disorder (BPD) are characterized by impulsivity, suicidality and unstable emotion. BPD patients requiring inpatient psychiatric management posed additional challenges for ward staff, reflected by staff frustration and clinical incidents. There is a pressing need to enhance the capacity of staff in managing the increasing challenges. In contrast to traditional lectures or tutorial classes, fostering an interactive learning culture is believed to be a more effective strategy to enhance quality and safety
Objectives :
Employing an interactive learning journey to foster a quality and safety culture in patient management, focusing on inpatients with BPD
Methodology :
Four identical workshops were held. Participants were ward nurses of various ranks and experience. They were invited to join a two-hour workshop, with experts in managing patients with BPD as moderators. Course videos specifically prepared for the concerned topics were available for participants before attending the workshop. During the workshop, active open discussion, knowledge sharing, criticism were encouraged with guidance. Qualitative data on participants’ comments and quantitative data by comparing the pre and post training scores on BPD staff training self-report questionnaire, as well as the trend of incidents related to patients with BPD would be measured.
Result & Outcome :
67 nurses completed the training. Years of experience varied from 1 to 30+ years (Mean 16.7 years). Ranks included ENP,RNP,APNP,WMP,ANC and DOM. During the workshop, participants were encouraged to speak-up. The importance of principle-driven approach and team work are highly appreciated. Positive comments were collected such as “practical and interesting”, “can learn in a stress-free environment”, “found case sharing and group discussion very useful”. Participants stated all training content were helpful and would highly recommend the workshop. Corporate training satisfaction survey reflected high satisfaction level. There was an increase in the mean score of the BPD staff training self-report questionnaire by 41% from 22 (pre) to 30 (post), indicating an overall perceived improvement in knowledge, skills, attitudes and empathy towards patients with BPD after completion of the training. Preliminary data also showed a marked reduction in incidents related to patient with BPD. The results supported the importance of interactive learning in inculcating a quality and safety culture.
