Page 55 - HA Convention 2016 [Abstracts (Day 1)]

Service Enhancement Presentations HOSPITAL AUTHORITY CONVENTION 2016

F2.3 Staff Engagement and Empowerment 10:45 Room 421

Structured Training Workshop Enhanced the Nutrition Care Knowledge and the Feeding Skill of Frontline Staff
Koo HW 1, Liu TY 1,Cheung SMM 2, Wong CY 3
1Department of Dietetics, 2Department of Speech Therapy, 3Nursing Services Division, Pok Oi Hospital, Hong Kong

Introduction Tuesday, 3 May

Malnutrition and dysphagia are common problems during hospitalisation. These may due to diseases, behavioural feeding
problem, poor appetite and/or functional deterioration of swallowing mechanism, etc. Hence, equipping the frontline staff
with concept of nutrition care and feeding skills is the key of a highly-prioritised training programme.

Objectives

To equip frontline staff with (1) basic knowledge of nutritional content of hospital meals and supplements; (2) basic knowledge
of normal and disordered swallow, diet and liquid consistency; and (3) standardised and accurate oral intake charting skills;
and (4) appropriate feeding skills with different feeding tools, postures and use of fluid thickener.

Methodology

Nursing services division nominated newly joined frontline supporting and nursing staff to attend training workshops which
were held on a regular basis. It was a half day training workshop co-run by dietitian and speech therapist. Dietitian provided
training on the knowledge of hospital meals, diet supplements and meal portions. Besides, tasting of diet supplement and
practice in oral intake charting were also included. Speech therapist launched lecture on the basic knowledge of swallowing
disorder, diet and liquid consistencies, roles and responsibilities of feeding staff followed by a hands on workshop on feeding
skills. Pre- and post-workshop quiz were conducted.

Results

Since 2013, 12 training sessions in total were arranged with total 260 staff trained. There was an increase from 44% to 80%
regarding the accuracy of the nutrition care knowledge quiz post-workshop. Results showed that most of the staff were
deficient in the knowledge of hospital meal nutrition concept and the use of diet supplements before the workshop. Self-
rating on feeding skills and knowledge was another parameter for measuring workshop outcome. It was found that there
was a statistically significant increase in self-rating score in most participants after the workshop. Results of both objective
and subjective evaluation supported a structured training workshop which helped to improve nutrition care knowledge and
feeding skill of staff. This also facilitated a more standardised and accurate oral intake charting, and increased the awareness
of appropriate diet and supplement provision in hospital. Equipped frontline staff was expected to perform better in their daily
feeding duties and be able to identify potential feeding/swallowing problems at early stage. Feeding safety would therefore
be promoted.

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