Dr. Wu Yiping

KK Womens and Childrens Hospital, Singapore

Abstract Title:Clinical Immersion Programme: Approach to Enhance Nursing Clinical Practice

Biography:

Yiping completed her Master of Nursing at the National University of Singapore in 2015. As an Advanced Practice Nurse specializing in Gynaecology, she is dedicated to patient safety and exceptional care. With 20 years of nursing experience, her excellence has been recognized with accolades such as seven Patient Safety Awards, the SingHealth Quality Service Award (Gold), the KKH Service Quality Award, the Ministry of Health Nurse’s Merit Award, and the RiSE Partner in Education Award. Passionate about inter-professional education, Yiping takes pride in mentoring future APNs as the APN Intern Lead, fostering growth and advancing advanced practice nursing

Research Interest:

Nursing requires integrating robust theoretical knowledge with practical expertise to deliver effective clinical care. However, observations of registered nurses returning from Advanced Diploma post-graduate studies have highlighted a need for greater confidence in applying advanced skill sets. To address this gap, the Clinical Immersion Programme (CIP) was developed to enhance competencies in history-taking, health assessment, clinical judgment for early identification of patient deterioration, and timely care escalation to ensure patient safety. The CIP was meticulously designed through a collaborative effort between physicians and Advanced Practice Nurses (APNs), utilizing a variety of teaching modalities, including face-toface health assessment sessions, lectures, case-based discussions, and bedside teaching. To strengthen clinical reasoning, participants engaged in case log writing, while assessments such as mini-clinical evaluation exercises (mini-CEXes) and pre- and post-course multiple-choice questions (MCQs) were employed to validate learning outcomes. Program efficacy was further assessed via an end-program evaluation survey. 215 nurses completed the CIP, with the post-course MCQ pass rate significantly improving from 52% to 83%, indicating substantial knowledge acquisition. Additionally, 96% of participants reported that the program enhanced their professional capabilities, and 88% expressed greater confidence in utilizing advanced skills in clinical practice. A focus group survey with 64 trained nurses provided additional insights into the program's impact. Among respondents, 84% reported a more robust understanding of patients’ clinical conditions, 74% felt more confident discussing cases with physicians, and 70% indicated improved ability to mentor junior nurses. These advancements also contributed to heightened job satisfaction among participants. CIP has successfully delivered eight cohorts, fostering the development of nurses into advanced practice professionals. Noteworthy achievements include nine graduates receiving the Patient Safety Award, eight pursuing the Master of Nursing program, and CIP being honored with the prestigious AM.EI Golden Apple Award – Programme Excellence 2