Authors (including presenting author) :
Kwan KY(1), Leung YW(2), Yue CS(2), Ngan PL(1), Ng YB(1)(2)
Affiliation :
(1)United Ambulatory Care Centre, (2)Division of Cardiology, Department of Medicine and Geriatrics, United Christian Hospital
Introduction :
In 21st century, Cardiovascular Implantable Electronic Device (CIED) had become bumping important in cardiac disease management and dramatically enhanced both patient quality and quantity of life (Baddour et al., 2010). Number of new CIED implantation in Hong Kong has been doubled since 2000, and the population is still accumulating with over a thousand new cases annually in Hong Kong (CDARS). Meanwhile, advancing technology are emerging, such as leadless pacemaker, subcutaneous implantable cardioverter-defibrillator (SICD) and MRI conditional CIED. Frontline healthcare professionals should equip updated knowledge, as mishandling of CIED may lead to unnecessary suffer and increase potential risk, for example: pre- and post-operation or MRI management.
Objectives :
To explore the training need of CIED care for frontline healthcare professionals in acute hospital. To enhance staffs’ competence on CIED care.
Methodology :
A 2-day programme “Cardiac In-service Training on CIED Care” was launched in 2018, with 3-hour theoretical input by nurses specialized on CIED care and cardiologists. Frontline nurses form all specialties and allied health professionals in cardiac rehabilitation team (n=35) were recruited. Design of Pre-/ Post-test was employed illustrating candidates’ knowledge on CIED care. 4 multiple-choice questions about basic concepts of CIED, living with device and perioperation were selected by cardiac nurse who was a certified cardiac device specialist. Evaluation survey based on content and candidates’ satisfaction was conducted.
Result & Outcome :
A noteworthy knowledge gap on CIED care was demonstrated in the Pre-/ Post-test. In the Pre-test correct responses ranged from 20.7% to 58.6% only, while prominent improvement in correct responses was demonstrated in the Post-test ranging from 69.2% to 92.3%. Among the programme evaluation, candidates agreed that the programme achieved its objectives rated 4.29 (using a 5-point scale). They acknowledged that the content was practical in workplace rated 4.33. They were overall satisfied with the course rated 4.29. The programme was highly recommended by candidates. Our programme illustrated significant knowledge detachment of frontline healthcare professionals on CIED care. Coping with the rising population with CIED and advancing technology, and with such remarkable learning experience and enhanced competence of candidates, there is a crucial need of continuous training on CIED care for frontline healthcare professionals.
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