Authors: (including presenting author): :
(1)Leung LBS, (1)Ng MS, (2)Wong KK, (6)Kwok WNR, (5)Mak CL, (3)Ng CW, (4)Pang CK, (1) Kho CS
Affiliation: :
(1) Department of Medicine, PYNEH, (2) Nethersole Clinical Simulation Training Centre, PYNEH, (3)Department of Medicine & Geriatrics, PMH, (4) Department of Medicine and Geriatrics, UCH, (5) Department of Medicine and Geriatrics, TMH, (6) Department of Medicine, QMH
Keyword 3: :
Haematology Nursing
Introduction: :
Hematologic emergencies—including tumor lysis syndrome (TLS), febrile neutropenia (FN), cytokine release syndrome (CRS), and acute transfusion reactions—are life-threatening conditions that demand immediate intervention to prevent significant morbidity and mortality. These scenarios pose substantial risks to patient safety and require rapid, coordinated responses from nursing teams. Nurses with limited experience or inadequate exposure to such adverse events may be at risk of providing inappropriate management, thereby compromising patient outcomes. To strengthen preparedness, enhance clinical competence, and reinforce protocol adherence, a simulation-based training program was implemented across HA Hospitals (PYNEH, UCH, PMH, TMH, and QMH) in collaboration with the PYNEH Nethersole Clinical Simulation Training Centre in March 2025.
Objectives: :
- Strengthen preparedness and enhance clinical competence through simulation-based training that replicates real-world scenarios. - Develop clinical reasoning skills by recognizing early signs of deterioration in haematological emergencies. - Increase nurses’ confidence in responding to emergent situations without risk to real patients.
Methodology: :
Eighteen nurses from haematology units participated in a structured training program combining tutorials, case-based simulations, debriefing sessions, and reflective practice. The workshop included: • Tutorials reviewing management protocols for TLS, CRS, and FN. • Scenario-based exercises assessing staff competence in responding to life-threatening crises. • Facilitated debriefing sessions to consolidate learning and encourage reflective practice.
Result & Outcome: :
Program evaluation demonstrated measurable improvements across knowledge, skills, and attitudes using a 5-point Likert scale. • Increased confidence in recognizing early warning signs (mean score improved from 3.2 to 4.6). • Enhanced ability to initiate appropriate interventions and collaborate effectively with multidisciplinary teams (3.5 to 4.4). • Improved clinical reasoning (3.0 to 3.6) and accurate execution of emergency protocols, including infection control, supportive therapies, and transfusion reaction management. • Attitudinal shifts toward heightened vigilance, proactive teamwork, and patient-centered care. • High overall satisfaction with the program (4.7/5). This initiative underscores the value of simulation as a powerful educational tool for preparing nurses to manage patients with complex haematological emergencies. By fostering experiential learning and reinforcing evidence-based practices, the program enhances patient safety, supports professional growth, and contributes to improved clinical outcomes.
