Authors (including presenting author) :
HO HW(1), CHAN TF(1), CHIM L T(1), NG PK(1), LUK T T(2), KWAN H Y(1 )
Affiliation :
(1) Department of Respiratory Medicine and Extended Care, Kowloon Hospital (2)School of Public Health, The University of Hong Kong
Keyword 1: :
Scenario- based workshop
Keyword 2: :
enhance nursing management
Keyword 3: :
chest drainage
Introduction :
Pleural effusion is a common clinical condition that often requires chest drainage - a high-risk but crucial intervention. Proficiency in its nursing care is essential, yet knowledge gap often exists among junior nurses. Literature suggested that scenario-based training is effective. We therefore organized a nursing workshop consisting of theory, hands-on practice, and scenario-based training.
Objectives :
To assess the effectiveness of a scenario-based workshop on chest drainage management in enhancing nursing standard and practice.
Methodology :
A single-blinded, double-arm randomized controlled trial was conducted in the Department of Respiratory Medicine and Extended Care (RM&E), Kowloon Hospital. Junior nurses with less than five years of post-registration experience were recruited. Those with prior specialized training in chest drainage management, on extended leave, or unwilling to participate were excluded. Eligible participants were randomly allocated to either an intervention group (n=18) or a control group (n=18) that received standard training. Five identical sessions of structured, three-hour training program, were delivered by specialist nurses to the intervention group. Their knowledge enhancement (by a 20-item assessment), and clinical competency (by a validated checklist) were assessed. All workshop participants completed an evaluation questionnaire.
Result & Outcome :
Forty nurses working in RM&E, were recruited. Four were excluded (One had previous specialized training, one on extended leave, and one on maternity leave; additionally, one withdrew due to resignation). Consequently, 36 junior nurses completed the trial and were included in final analysis (Intervention: n=18, Control: n=18). Controlling for pre-intervention scores, the intervention group achieved a statistically significant improvement in knowledge compared to the control group (Adjusted M=82.98 vs. 76.18, p=0.011, Partial η²=0.18). Confidence in skills competency was significantly higher in the intervention group than in the control group (Intervention: M=86.91, SD=12.20; Control: M=57.06, SD=19.16; p< 0.001). Participants were satisfied with the workshop (mean satisfaction score 95.3%). Conclusions The structured, scenario-based workshop in RM&E was effective in enhancing junior nurses' knowledge, clinical competency, and confidence in chest drainage management, thereby meeting the workshop's primary aims. These findings support the integration of similar scenario-based training into orientation programs or even standard nursing education to enhance their clinical preparedness and subsequently patient safety. Future research should employ larger, multi-center samples, with an extended follow-up periods to evaluate its long-term benefit, and ability to translate training outcomes into measurable patient outcomes.
