Authors: (including presenting author): :
Ng LY, Leung CK, Chan WL, Fung LWH, Lam CK
Affiliation: :
Intensive Care Unit, North District Hospital, New Territories East Cluster
Keyword 1: :
Interactive Nursing Education
Keyword 2: :
Simulation-based Training
Keyword 3: :
Critical Care Education
Keyword 4: :
Grand Rounds Redesign
Keyword 5: :
Digital Learning Tools
Introduction: :
Traditional nursing grand rounds in the Intensive Care Unit (ICU) have followed a didactic, passive, lecture-based format, where cases are presented to nursing leaders and staff, followed by questioning on pathophysiology, treatment and nursing care. While informative, this model often limits active participation and failed to leverage modern educational tools. To promote deeper engagement and self-directed learning among ICU nurses, we redesigned the grand rounds into a two-tier framework incorporating interactive platforms, Mentimeter and high-fidelity simulation.
Objectives: :
(1) To transform nursing grand rounds from a passive learning experience into an interactive, participatory educational sessions that promotes active dialogue, critical reflection and collaborative problem-solving among nursing staff. (2) To utilize structured interactive learning through real-time digital engagement via Mentimenter and immersive high-fidelity simulation as a means to enhance staff engagement, strengthen knowledge retention and improve overall satisfaction, thereby systemically updating and upgrading unit-wide nursing competencies with contemporary, evidence-based ICU practices. (3) To evaluate the effectiveness and applicability of this modified two-tier framework in achieving sustained educational improvement and fostering a culture of continuous, self-directed professional development within the critical care nursing team.
Methodology: :
A structured two-tier framework was implemented. Tier 1: Clinical Realties – Case Studies from the Frontlines, enhances the traditional didactic case presentation by integrating Mentimeter – a platform selected for its real-time interactive capabilities. Unlike static presentations, Mentimeter allows embedding of multiple-choice questions, open-ended questions and live polls via QR codes, enabling immediate visual feedback and collective discussion. This approach retains the structured knowledge transfer of a lecture while fostering active engagement. Tier 2: Simulated Scenarios – Mastering Skills in a Safe Environment, employs high-fidelity manikins simulating complex, multi-organ failure to bridge knowledge with hands-on clinical rehearsal. Participation metrics and post-session surveys were used to evaluate engagement and perceived learning outcomes.
Result & Outcome: :
The modified framework successfully transitioned the educational model from passive reception to active participation. Preliminary feedback indicated high levels of staff engagement during both digital polling and simulation exercises. The approach enhanced real-time knowledge application, fostered interdisciplinary discussion and supported a practical, competency-based learning environment conducive to continuous professional development in critical care nursing.
