Authors: (including presenting author): :
Chow MC(1), Choi TL(1), Wong KM(1), Tang WT(1), Ng KY(1), Lam YF(1), Ng ML(1), Miu PL(1), Lau YF(1)
Affiliation: :
Department of Medicine, Pamela Youde Nethersole Eastern Hospital
Keyword 2: :
nurse training
Keyword 3: :
quality and safety
Introduction: :
Hospital Authority Safety Committee decided to phase out prolong ventilation with transport ventilators to optimize ventilatory support. New models of ventilators were introduced in PYNEH. To facilitate the transition, face-to-face lectures, hands-on workshops and ward-based scenario practical sessions were organized for the nursing staff.
Objectives: :
To enhance the knowledge and competence of nurses in caring of patients with mechanical ventilators and operating the new models of ventilators.
Methodology: :
From December 2024 to March 2025, comprehensive educational interventions were implemented to facilitate adoption of new ventilator models and enhance nursing management of mechanical ventilation. These included face-to-face lectures, hands-on workshops, and ward-based scenario practical sessions. Three identical half-day training programmes, jointly organised by the Nursing Services Division, Respiratory Nursing Team, and ICU nursing specialists, featured theoretical lectures on mechanical ventilation principles and nursing care, followed by practical hands-on workshops. Four identical train-the-trainer workshops focused on ventilator operation and troubleshooting with cue cards, targeted at medical department nursing staff. Practical roadshows, led by the Respiratory Nursing Team, were conducted across medical wards to reinforce skills and address troubleshooting for new ventilators. Supporting resources, such as cue cards attached to ventilators and QR codes linking to instructional
Result & Outcome: :
In total, 81 nurses from various departments attended the training programmes, 101 medical department nurses participated in train-the-trainer workshops, and 150 nurses joined roadshow sessions. Overall, 152 evaluation questionnaires were collected: 38 from workshops and 114 from roadshows. Feedback was overwhelmingly positive, with high satisfaction and an average score of 5.78 on a 6-point Likert scale. From April to November 2025, 142 intubated patients used the new ventilators, with an average length of stay (LOS) of 18.33 days and ventilator duration of 9.77 days. These represented reductions from 2024's averages of 32.72 days LOS and 18.44 days on ventilator. No adverse effects like tube dislodgement, displacement, or cuff leak were reported. Three unplanned extubations occurred, similar with last year, but no emergency calls for ventilator technical support were activated. A structured, multimodal training programme effectively supported nurses in adopting the new mechanical ventilators, with high satisfaction and no reported ventilator-related adverse events during implementation.
