A weekend in-service program led by clinicians in the Emergency Department

Mrs Hui (Grace) Xu1, Dr  Pauline Calleja2
1Queensland Health, Meadowbrook, Australia, 2Griffith University, Nathan, Australia

Background: In-service training is an indispensable strategy for maintaining and increasing emergency nurses’ competency to deliver safe patient care (1, 2). In-service training is traditionally run by a nurse education team. Often other senior nursing members (i.e. nurse practitioner or clinical nurse consultant) have limited involvement in staff nurse educational activities due to multiple reasons. Limited research addresses in-service training and senior nursing clinician’s roles in contributing to ongoing staff educational activities in emergency departments (ED).  This project was undertaken to develop a new model of in-service training program for emergency nurses.
Methods: This innovated model of education activities commenced in 2017 in a busy urban public teaching hospital ED in Queensland Australia. There was no in-service delivered during weekends in the ED prior to this project. The department has a large portion of junior nurses with less than 3 years ED experience. The in-service sessions were undertaken on both Saturday and Sunday every weekend during afternoon handover time (1430-1500) commencing in January 2017. The weekend in-services were organised and delivered by experienced clinicians’ including nurse practitioners, clinical nurse consultants, clinical nurses and senior staff nurses. The in-service topics focused on clinically relevant contents. Monthly in-service fliers were delivered to all nursing staff via email and on education whiteboards in the department at the beginning of each month.
Results: 127 sessions and 63.5 hours in-service delivered to staff nurses in the ED between January 2017 and April 2018. This is an ongoing educational activity and continues in the department. Staff nurses who attended the sessions provided positive verbal feedback and requested the ins-service program to continue.
Conclusion: This weekend in-service educational model provided an additional learning opportunity for a cohort of inexperienced emergency nurses focusing on clinically relevant learning. Further research for this model is planned.

Grace (Hui) Xu is a Nurse Practitioner, academic, nurse researcher and staff wellness advocator in a teaching hospital emergency department (ED) within Queensland Health. She provides emergency care to adults and children who present the ED within the Ambi-Care model of care service. She also works as an academic staff member at Griffith University School of Nursing and Midwifery. Grace started to develop her research capacities in 2017 with the support of some experienced ED researchers. Her passion in promoting staff wellness and staff education drives her interest in becoming a key driver and stakeholder of the Staff Wellness Committee in her ED.