Evaluation of the effectiveness of a caring protocol in two convalescent hospitals

Andrew L. Luk, Elsa S. W. TSANG, Becky P. Y. HO, Shirley S. L. WONG, Lorna S. Y. HO, Joseph K. W. CHENG, Imelda W. W. LEUNG, Stephanie S. L. YEUNG

Abstract

A protocol on Professional Caring was first established in the year 2000 at the Prince of Wales Hospital (PWH) for service improvement. Following the success of implementation in PWH, the protocol was promulgated to other New Territories East Cluster hospitals to enhance caring and serve as a tool for establishing a caring culture within the cluster. The protocol encompasses three essential elements of professional caring: image, attitude and behavior. Purpose of the study: 1) To assess the effectiveness of the protocol in two convalescent hospitals. 2) To compare the effectiveness of the protocol between acute and convalescent hospital settings. 3) To explore ways of enhancing caring. Method: A two-pronged approach was adopted in the study: a pre-and post-test design and focus group interviews. Nursing and supporting staff from 18 wards in two convalescent hospitals were recruited for the pilot project using the caring protocol. Results: Responses from patients and relatives improved after the implementation of the protocol. Sixty-one percent of the sampled wards in both acute and convalescent settings showed an increased mean score. Nursing and supporting staff treasured the implementation process which enhanced caring and gathering valuable suggestions to maintain the caring culture in wards. Conclusions: The caring protocol is an effective way in enhancing professional caring in both acute and convalescent hospitals. The protocol was also well accepted by the nursing and supporting staff and had a significant impact demonstrated on supporting staff.

Key words: Caring protocol, professional caring, professional practice