Authors (including presenting author) :
Au W(1), Lam SS(1), Tse KY(1), Kam MY(1)
Affiliation :
(1) Department of Medicine and Geriatrics (M&G), Ruttonjee & Tang Shiu Kin Hospitals
Keyword 1: :
Pressure Injury Prevention
Keyword 2: :
Physical Restraint
Keyword 3: :
Quality & Safety
Keyword 5: :
Train-the-trainer
Introduction :
Preventing pressure (PI) injuries in healthcare settings is crucial, particularly for vulnerable patient populations. Deficiencies such as prolonged static positioning, inadequate turning angles and improper use of pressure-relieving devices can increase the risk of developing PI. Additionally, the misuse of physical restraints may lead to further negative outcomes, such as discomfort, indignity and avoidable injury. This project aims to enhance awareness and practical skills regarding PI prevention and safe restraint through a train-the-trainer, workshop, empowering frontline staff, including nurses and patient care assistants (PCA) in the Department of Medicine and Geriatrics (M&G).
Objectives :
• To conduct hands-on, train-the-trainer workshops that equip frontline staff with essential skills for PI prevention and safe restraint application. • To empower staff to promote quality and safety in patient care regarding these critical areas. • To evaluate improvements in staff knowledge, confidence, and readiness through pre- and post-training assessments and structured feedback.
Methodology :
This project utilized a train-the-trainer workshop format, with hands-on interactive sessions designed for nurses and PCAs. The workshops focused on practical skills such as skin assessment, pressure redistribution, and safe restraint techniques through simulations and role-playing scenarios. Pre- and post-workshop knowledge tests (10 questions) were administered, and participant feedback was gathered via surveys to assess confidence and overall training satisfaction.
Result & Outcome :
12 nurses and 10 PCAs participated in the workshop. Knowledge assessment scores showed significant improvement in both groups. Nurses’ scores increased from a pre-test mean of 8.33 (SD = 0.65) to a post-test mean of 9.75 M (SD = 0.45), with a mean difference of −1.42 (95% CI [−1.92,−0.91]). Similarly, the PCAs showed significant improvement from pre-test mean of 6.00 (SD = 0.60) to a post-test mean of 9.58 (SD = 0.50), with a mean difference of −3.58 (95% CI [−4.09,−3.08]). Over 95% of participants reported feeling more confident in performing PI prevention measures and applying restraints safely. The hands-on, train-the-trainer workshop effectively enhanced staff competency and confidence regarding PI prevention and safe restraint usage. The interactive learning approach proved beneficial for skill retention and readiness, essential for promoting consistent, high-quality care and ensuring patient safety in complex healthcare environments
