Authors (including presenting author) :
Chong CKM (1), Chu MHM (1)
Affiliation :
(1)Department of Anaesthesia, Pamela Youde Nethersole Eastern Hospital
Introduction :
The Glasgow Coma Scale(GCS) is requested as a skill in PACU by UK National Core Competencies for Post-Anaesthesia Care. The learning and adoption of GCS in clinical practices were affected by multiple factors including confidence and attitude.
Objectives :
To evaluate the effectiveness of continuous education in improving nurses’ attitude and confidence in performing GCS in PACU.
Methodology :
“Pre” and “Post”-tutorial exploratory survey was conducted in the Operating Theatre of Pamela Youde Nethersole Eastern Hospital (PYNEH). Questionnaires consisting of statements regarding attitude and confidence in performing GCS were sent to nurses working in the Operating Theatre in PYNEH by convenience sampling. Their opinion could be expressed from “Strongly disagree” to “Strongly agree” in 5-point likert scale. Their general comments about the tutorial in this study were also obtained at the end of each tutorial session.
Result & Outcome :
“Pre”-tutorial questionnaires were sent out during April 2018. Four identical one-hour tutorial sessions were delivered in May 2018 with “Post”-tutorial questionnaires given immediately after each session. 64 out of 93 OT nurses responded to the “pre” questionnaires. 68 nurses attended the tutorials and filled in the “post” questionnaires. 4 out of 10 statements regarding attitude and 9 out of 10 statements about confidence were shown to have significant improvement after the tutorials (p-value < 0.05, Mann–Whitney U test). The participants also gave positive feedback to the tutorial with a median score of 4/5 regarding various aspects of the usefulness of the tutorial in clinical practices. We concluded that the continuous education program in the format of this one-hour tutorial comprising video, lecture and scenario discussion about GCS provided positive impact on the attitude and confidence of nurses working in PACU. We suggest to run this sort of program regularly in the future, though the actual efficacy in the long run is yet to be proven.
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