What a wonderful few days we have just had in Suva, Fiji presenting at the workshop on implementing the Pacific Perioperative Practice Bundle (PPPB). We have been working with our colleagues within the organisation, Strengthening Specialised Clinical Services in the Pacific (SSCSiP) developing six infection prevention standards which formed the bundle, together with audit tools for each standard. The workshop was aimed at assisting our Pacific perioperative nursing colleagues implement the bundle within their own workplaces.
SSCSiP’s project coordinator, Mabel Hazelman Taoi and her team did a wonderful job coordinating the workshop and all the travel and accommodation for the twenty participants – no mean feat when you see where they all came from. You will need to get the map out to locate all fourteen countries of the Pacific region represented – Cook Islands, Fiji, Kiribati, FS Micronesia, Marshall Islands, Nauru, Niue, Palau, Samoa, Solomon Islands, Tonga, Tokelau, Tuvalu and Vanuatu. Some of the participants had travelled for a couple of days with many connecting flights via places such as Honolulu and Auckland! Nothing like our 4 hours direct flight from Sydney!
We had two and half days with our colleagues working through key elements of the standards and strategies for implementation. Each participant received a copy of the 2nd edition of the perioperative text book, Perioperative Nursing: An Introduction. Our fingers were well and truly crossed that technology would work and with the assistance of ACORN’s Education Officer, Dr Paula Foran, we arranged a live webinar with Dr Jed Duff (ACORN President) back in Sydney. He gave a great presentation on putting knowledge into action with excellent practical information on implementing change. It is one thing to have a bundle of standards, it’s quite another to implement them and we spent a lot of time looking and enablers and barriers to implementing change in the workplace based on Jed’s presentation. Another key element to the bundle were the audit tools and for many of our colleagues this was new territory for them. We were able to practice undertaking audits using the tools by carrying out observations in the local operating theatre, around the hospital and by watching videos.
One additional topic discussed was the formation of a professional association to connect all the perioperative nurses within the Pacific, encouraging sharing of ideas and progress on implementation. We tapped into the experiences of Phyllis Davis who was instrumental in assisting the perioperative nurses of Papua New Guinea form of their association. Another live webinar with Sydney based Phyllis got the ball rolling and served to inspire the group to the next step.
During our workshop we learnt more about the environments that our colleagues work in and the challenges they face in implementing the standards. Some of them work in large units and some come from small facilities with only one operating theatre and minimal staff. It wasn’t all work and we had a lot of fun along the way, including a night out with the group at a local Chinese restaurant.
Unfortunately we were not in Fiji to join in the celebrations for their victorious, gold medal winning 7s rugby team! That would have been an experience judging by the obvious excitement still bubbling amongst the local population. We left Suva exhausted after a full on couple of days, but feeling very satisfied that we had provided the group with lots of information, strategies and encouragement for the next step of their journey. A journey that will bring a consistency to the standards of perioperative nursing practice to their workplace and ultimately a safer environment for their patients.
We have already had lots of emails from the group who have already organised meetings with their hospital administration to report on the workshop and submit implementation plans. So lots of positive steps are happening already.
We hope to see a few of the group at the South Pacific Nurses Forum to be held in Honiara, Solomon Islands in early November where Sally and Mabel will present a paper on the PPPB Project.