Page 130 - Hospital Authority Convention 2017

Service Enhancement Presentations
HOSPITAL AUTHORITY CONVENTION 2017

F2.5 Staff Engagement and Empowerment 13:15 Room 421

Upholding Person-centred Care: Two Years’ Staff Engagement Experience in Shatin Hospital and Bradbury
Hospice
3
3
6
4
2
2
1
5
2
Chui WST , Wan PY , Chui YPM , Kwan WMC , Ng YTJ , Poon CYM , Poon LC , Shum PSE , Yeung TPP , Man SY 2
3
1 Hospice, Shatin Hospital, Central Nursing Division, Shatin Hospital/Bradbury Hospice, Hospice, Bradbury Hospice,
2
4 Department of Medicine and Geriatrics, Shatin Hospital, Department of Psychiatry, Shatin Hospital, Department of Surgery,
6
5
Shatin Hospital, Hong Kong
Introduction
“Person-centred care approach” to daily practice is not new to healthcare professions working in the Hospital Authority.
Yet, how to translate the concept into practice would be a challenge to senior management. With reference to the model of
“person-centred care made simple” developed by the Health Foundation UK (2014), the initiative in building a person-centred
care culture started off with staff engagement. A series of workshops commenced in 2015, using facilitation and reflective
mode of learning to engage staff.
Objectives
The four principles of person-centred care which encompass compassion and respect, coordinated, personalised care,
empowering people to live independently, were key focuses of reflective learning. The aim was to arouse participants’
awareness towards a person-centred care approach in not only appreciating the concepts, but the application to daily
Tuesday, 16 May Methodology
practice.
A pre-observational study of nurse-patient interactions was conducted at 18 wards in February 2015. The personal distraction
framework used in dementia care from Kitwood & Brafford (1997) was used to note the interactions. 11 video clips were
developed based on the observed interactions. The first workshop started off with participants involving the Hospital Chief
Executive, General Manager Nursing, Consultants and Nursing Managers. A total of nine half-day workshops was conducted
in 2015. To uphold the momentum, another eight sessions of one-day reflective and experiential workshops for nurses and
patient care assistants respectively were held in 2016. By facilitating case discussion, experiential and reflective sharing,
participants were involved to act as patient to try on thickened drink, being restrained, wearing pops to simulate impaired
vision and limb weakness etc. The feedback from participants of the workshops was analysed.

Results
Around 30% of nurses attended the 2015 workshops. The feedbacks were categorised as: (1) approaching patients; (2)
delivering care; (3) empowering patient; and (4) good attitude of staff with a supportive work environment. A “Small Change
with Big Difference” idea was thus generated. This involves encouraging all staff to introduce themselves by name and
profession when meeting a new patient, and also greeting patients with their preferred name. In 2016, 45% of nurses and
64% PCAs attended the one-day workshop. Participants demonstrated involvement by active participation in discussion and
simulation activities.

With an aim to raise awareness of staff working towards a person-centred care approach, we always ask whether what we do
is good for both patient and our staff instead of skewing to either the patient or staff. Person-centred care is not a simply “nice
to have” slogan, but should be essential in nursing care.

128