Authors: (including presenting author): :
Lau KL(1), Yeung MF(1), Fung C(1)
Affiliation: :
(1)Department of Intensive Care Unit, Tseung Kwan O Hospital, Kowloon East Cluster
Keyword 1: :
Automated dispensing cabinets(ADC)
Introduction: :
Automated dispensing cabinets(ADCs) are increasingly adopted in healthcare to enhance safety and efficacy. Tseung Kwan O Hospital Intensive Care Unit(TKOICU) acted as one of pioneers of ADC application (Omnicell®) for dangerous drug administration(DDA), integrating it with the In-Patient Medication Order(IPMOE). Effective ADC application relies on adequate and timely staff training. Unlike traditional methods, simulation offers controlled environment for practice. This study examined the impact of a video plus computer-based simulator (created by Scratch) on nurses for ADC application.
Objectives: :
(1)To evaluate the training effect on ICU nurses’ knowledge on DDA with Omnicell® application (2)To investigate impacts of the training package on user experiences
Methodology: :
Data were collected from TKOHICU over three weeks using convenience sampling. A one-group pretest-posttest design was used to assess the training package’s impact on nurses’ knowledges, confidence, familiarity and satisfaction with aid of a survey. The survey contains 8 multiple-choice questions to assess knowledge and 5 questions with 4-point Likert scale (1=Strongly disagree;2=Disagree;3=Agree;4=Strongly agree) to assess user experiences. Participants were required to watch a 10-minute video series and use a computer-based ADC simulator. Statistical Package for the Social Sciences(SPSS) with Wilcoxon signed-rank tests was employed to analyze pre-post differences.
Result & Outcome: :
From 8 to 28 December 2025, this study included 59 ICU nurses. Participating nurses had diverse general and critical care experiences, but >95% had no prior exposure to the use of ADC. Among 59 ICU nurses, the training package significantly improved their knowledge (Pre-training mean:3.98;Post-training mean:5.32), familiarity (Pre-training mean:2.76;Post-training mean:3.07), readiness (Pre-training mean:2.81;Post-training mean:3.07), error awareness (Pre-training mean:2.83;Post-training mean:3.03) and satisfaction of understanding (Pre-training mean:2.83;Post-training mean:3.03) of ADC application for DDA with p-value < 0.05. A non-significant positive trend was also observed for the nurses’ confidence after participating in the training (Pre-training mean:2.95;Post-training mean:3.02, p=0.157). The training package combining traditional video-watching and computer-based simulation shows promise for enhancing ADC application, by increasing users’ knowledge, familiarity, and error awareness of ADC application. Meanwhile, randomized controlled trial with long-term follow-up is recommended to evaluate sustained effects and confidence changes of the users.
