Authors (including presenting author) :
Tsang S.M. (1), Ng M.T.(2), Yu H.T(2)
Affiliation :
(1) Stoma and Wound Care , Tseung Kwan O Hospital, (2) Surgical Ward , Tseung Kwan O Hospital
Keyword 1: :
educational program
Introduction :
Skin tears are common yet largely preventable wounds affecting patients with fragile or even healthy skin in hospital settings. Pain, infection, delayed healing, prolonged hospitalisation, and a higher healthcare burden can result from untreated or poorly managed skin tears.
In 2024, the TKOH wound nurse team managed 26 referrals related to skin tear injuries, and the number was likely underestimated. This highlighted an ongoing clinical impact.
This program aimed to strengthen nursing staff knowledge and practical skills in skin tear prevention and management through structured education and hands-on training.
Objectives :
To enhance and evaluate nursing staff knowledge of skin tear prevention and management and assess clinical competency following hands-on training workshop.
Methodology :
A quasi-experimental pre- and post-test study was conducted among nursing staff (APN, RN, EN) working at TKOH using convenience sampling. The intervention consisted of a video-based educational program, followed by a hands-on workshop one month later. Knowledge was assessed using the same structured questionnaire (total score: 10 points): pre-test, and post-test after the educational program. Practical competency was evaluated using a competency-based assessment during the workshop. Paired samples were identified using participant names and email addresses and the unmatched participants were excluded in the study. The normality of paired differences were firstly assessed by the Shapiro-Wilk test and shown a significant difference (p=0.006). A Wilcoxon signed-rank test was then adopted in the study to evaluate if there was a knowledge difference after the video-based educational program.
Result & Outcome :
Mean knowledge scores increased from 6.34 at pre-test (n=52) to 8.66 at post-test (n=48), with a mean improvement of 2.32 points after the video-based educational program . A total of 44 identified nursing staff completed both the pre- and post-test. A Wilcoxon signed-rank test showed post-test scores were significantly higher than pre-test scores (Z=-4.998, p< 0.001). A hands-on training workshop was held after one month. All nurses who participated in the workshop had successfully passed the competency assessment.
