Page 145 - Hospital Authority Convention 2017

Service Enhancement Presentations

F4.6 Clinical Safety and Quality Service II 16:15 Room 421

A High Accessible and Measurable Approach in Train-the-trainer Workshop: Theoretical and Simulation Training
on Pain Assessment and Management
Leung PNC 1,2 , Cheong DL 1,2 , Aboo GH 1 HOSPITAL AUTHORITY CONVENTION 2017
2
1 Nursing Services Division, Working Group on Pain Assessment and Management, Pamela Youde Nethersole Eastern Hospital,
Hong Kong
Introduction
Pain is a common symptom of patients in acute hospitals. In 2010, a regional acute care hospital endorsed a clinical protocol
on Pain Assessment and Management to ensure patients are assessed and continuously evaluated of pain; and to carry out
nursing interventions to minimise pain.
To seek for continuous improvement, nursing audits identified two major areas for improvement, including accurate and
timely nursing documentation, and non-pharmacological nursing interventions for pain relief.

Objectives
(1) To improve accuracy and timely nursing documentation; and (2) to promulgate the non-pharmacological nursing
interventions for pain relief.

Methodology
Highly accessible and measurable of Train-the-trainer Workshops for nurses, including theoretical and practical simulation
training, were conducted in April and May 2016. Theoretical session included physiology of pain and basic principles of pain
management, nursing assessment and documentation, nursing interventions and reporting. Simulation training with three
clinical scenarios, cancer pain, chest pain and post-operative wound pain enabled participants to practice what they learnt in Tuesday, 16 May
theoretical session.
Results
In two identical workshops, 45 participants attended the pre- and post-tests, showing 12% improvement in answering
the quiz correctly. Participants were able to conduct accurate pain assessment and documentation, and carry out non-
pharmacological interventions for pain relief to patients, and use iSBAR for reporting in simulation training. Overall, this
workshop gained positive feedback with overall satisfaction scored 5/6. Participants appreciated lots of useful and up-to-
date information for sharing throughout the theoretical and practical sessions. It achieved measurable effectiveness.
Meanwhile, a list of departmental trainers and training information are available on Nursing Homepage. Trainers are
responsible to conduct training to nurses in their respective units. To facilitate and strengthen knowledge and clinical practice
after training, on-line quiz with 20 questions was developed to encourage all nurses to attempt it after training. 1,301 (95%)
nurses in total completed the quiz and 1,132 (87%) nurses answered 16 questions or more correctly within eight months. It
achieved high accessibility and effective measurable outcomes.

Conclusion
Hospital has articulated and implemented a standard of practice in pain assessment and management. Continuous education
and evaluation are important to sustain and improve the quality of pain management. Nurses showed improvement on pain
management and demonstrated skillful practice on non-pharmacological interventions for pain relief in simulation training.
For continuous improvement, an evaluation audit will be conducted.

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