Authors (including presenting author) :
LAU WM (1), SIU CK (1), WONG OYJ (1), FUNG A (1), CHU K(1), LAW CC (1), LO HY(1)
Affiliation :
(1) General Adult Psychiatric Team
Keyword 1: :
borderline personality disorder
Keyword 2: :
interactive workshop
Introduction :
Patients with borderline personality disorder (BPD) are characterized by impulsivity, suicidality and unstable emotion. BPD patients requiring inpatient psychiatric management posed additional challenges for ward staff, reflected by staff frustration and clinical incidents. There is a pressing need to enhance the capacity of staff in managing the increasing challenges. In contrast to traditional lectures or tutorial classes, fostering an interactive learning culture is believed to be a more effective strategy to enhance quality and safety.
Objectives :
Employing an interactive learning journey to foster a quality and safety culture in patient management, focusing on inpatients with BPD
Methodology :
Invited ward nurses and patient care assistants (PCAs) of various ranks and experience joined a two-hour workshop, with expert doctor and nurse in managing patients with BPD as moderators. Course videos specifically prepared for the concerned topics were available for participants before attending the workshop. During the workshop, active open discussion, knowledge sharing and criticism were encouraged with guidance. Effectiveness measurement by comparing the pre and post e-KALM scores; e-KALM is a self-rated questionnaire about staff’s perceived knowledge, skill, attitude, confidence and empathy towards patients with BPD.
Result & Outcome :
Total 7 identical workshops were completed for 116 nurses and PCAs. Years of experience varied from 1 to 30+ years (Mean 16.7 years). All Staff’s e-KALM Score significantly increased after the workshop by statistical Method: Wilcoxon Signed Rank Test. Participants in post BPD workshop scores (Median = 28.5) were significantly higher than pre-BPD workshop scores (Median = 21) (Z = -8.752, P = .001), with 105 participants showing improvement, 3 showing decline and 8 remaining unchanged. The Effect size (r) was .84. Year of services is found no correlation with pre-workshop e- KALM score by
statistical Method: Spearman Correlation Test; No significant association between years of service and pre-workshop e-KALM score was noted among all ranks (rs = .14, p = .13). It highlights the difficulties of managing BPD patients no matter the seniority and applicability of the workshop to staff with different seniority. For qualitative comments, participants stated all training content were helpful and would highly recommend the workshop to others. Corporate training satisfaction survey reflected high satisfaction level. The promising results supported the importance of interactive learning in inculcating a quality and safety culture.
