Page 223 - Hospital Authority Convention 2017
P. 223

Service Enhancement Presentations



                F7.1      Committed and Happy Staff                                        13:15  Room 421

               Patient Care Assistant Training on Suicidal Observation
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               Lam MY , Luk KH , Lo CL , Fan LK , Lin YY , Au Yeung WC  5
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                Male Acute Ward,  Male Rehabilitation Ward,  Female Acute Ward,  Female Rehabilitation Ward,  Psychogeriatric Ward, Shatin   HOSPITAL AUTHORITY CONVENTION 2017
               Hospital
               Introduction
               Patient care assistants are a valuable part of the healthcare team and have close interaction with patients on a daily basis.
               They play an important part in suicide prevention by observing, reporting, and taking records of patients with suicidal risk.
               The crux of high quality suicidal observation relies on their vigilance and awareness on early signs or clues of suicidal
               tendencies.  A  structured  orientation  or  periodic  refresher  training  on  suicidal  observation  is  indispensable  for  sharpening
               their skills and competence. A workgroup was formed by representatives of different psychiatric units to develop a training
               programme for patient care assistants and monitor their quality of suicidal observation in day-to-day practice. The training
               programme was uploaded to webpage of Psychiatric Department for staff to review content at their fingertips.
               Objectives
               (1) To enhance staff awareness on suicidal observation; (2) to educate staff on bolts and nuts of suicidal observation; (3) to
               enhance skills and competence on suicidal observation; (4) to reinforce person-centred care when delivering care to patients
               with suicidal risk; (5) to highlight the important points that are easily overlooked and desensitised; (6) to consolidate staff
               knowledge by incidents sharing and quiz.

               Methodology
               A pre-test and post-test design was used, and the results were measured before and after the training. The test included 10
               questions, five of them are selected as crucial questions that participants should answer correctly after training. Subjects
               were all patient care assistants from psychiatric inpatient units (psychogeriatric, female acute, female rehabilitation, male
               acute, male rehabilitation).

               Results
               The training was conducted in October 2016. 50 patient care assistants participated in this training programme (96% of
               patient  care  assistants  working  in  psychiatric  units).  29%  on  average  answered  the  crucial  questions  wrongly  while  staff
               working in rehabilitation ward took more than 15%. All crucial questions were all answered correctly after the training.
               Participants showed interest in incidents sharing and were astonished about clients taking unusual ways of attempting
               suicide.  It  impressed  staff  the  severity  and  unpredictability  of  clients’ suicidal  behaviour  that  immensely  called  for  staff
               vigilant and prudent observation.

               They appreciated nursing staff to recapture the essence of suicidal observation and were able to make revision
               independently. It is not just training on hands-on skills, but also delivers the key messages of person-centred care that is
               equally important when caring clients with suicidal risk. The promising result showed the vast changes of staff in skills and
               knowledge of observing clients with suicidal risk.                                                  Wednesday, 17 May




































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