Skill gap
Uneven knowledge across teams
Critical deficiencies in wound-care knowledge and practice, varying from one clinical team to the next.
The wound doesn’t wait for the manual.
A 12-week build for the nurses, clinicians and wound-care specialists who carry Gibraltar’s public health system. Evidence-based. Bilingual. Designed for the moment a decision lands on one person, at one bedside, with no time to look it up.
Lat36.1408° N
Lon005.3536° W
ClientGHA
StatusDeployed
Field note
THE ROCK
36.14° N · 5.35° W
EN / ES
36.14° N · 5.35° W
EN / ES
Gibraltar is a small place with a long reach.
Two languages cross the frontier every morning, and so do the patients. The clinicians who treat them don’t get to choose which language the emergency arrives in, or which hour of the night.
I learned in places where clarity was the difference between going home and not going home that ambiguity is the most expensive thing in any system. A wound-care protocol is no different. If the nurse on the night shift has to guess, the training failed long before the patient arrived.
So the brief was never “build a course.” It was this: close the distance between what the evidence says and what actually happens at the bedside.
12
Week build cycle
2
Languages · EN / ES
4
Delivery formats
1
Clinical standard
01 // The gap
Mapped before we touched the curriculum
What the system was carrying
Every training problem is a performance problem first. Before a single screen was built, we went looking for where practice and evidence had drifted apart.
Outdated methods
Training behind the evidence
Existing programmes no longer matched current best practice or modern wound-care technologies.
Patient impact
Inconsistency reaches the bedside
Gaps in knowledge showed up where it matters most: in healing times and treatment outcomes.
02 // The build
Built with them, not for them
Twelve weeks, four phases
Phase 01 · Diagnose
Find the real gap
Skill-gap analysis across clinical teams. The question was not what nurses should know, but what they were doing differently from what the evidence asks.
Phase 02 · Design
Partner with the people who own the outcome
Direct collaboration with Gibraltar Health Authority’s clinical leaders, current clinical guidelines, and the contemporary evidence base, shaped to local standards.
Phase 03 · Pilot
Put it in front of clinicians early
Pilot modules launched inside the 12-week window. Clinician feedback drove revision before anything reached full release.
Phase 04 · Release
Deploy the series
The 2025 Wound Care Professional Development Series, delivered as SCORM and hosted on AWS, with a Spanish edition and accelerated audio and video formats.
03 // Four ways in
One standard, reachable from anywhere
A nurse coming off a night shift and a specialist on the morning commute should be able to reach the same standard. Format is an access decision, not a decoration.
Interactive module
Scenario-led clinical decision module built in Rise 360.
SCORM · AWS S3
Spanish edition
Full bilingual version for a workforce that lives on both sides of the frontier.
EN · ES
Accelerated podcast
The core protocols in audio, for learning on the move.
Voice-over · Descript
Video
Short visual walkthroughs for flexible, self-paced review.
Accelerated format
04 // Evidence
What we measured, and what moved
Instruments
- 01Clinician feedback surveys
- 02Knowledge checks
- 03KPI tracking against healing time
- 04Competency evaluations across departments
Outcomes
- 01Improved clinical decision-making in wound management
- 02Fewer wound-care complications
- 03Standardised care protocols across departments
- 04Greater staff confidence at the bedside
Doctrine
Completion is not capability. Compliance dressed as competence is the failure mode this series was built to prevent.
A finished module proves someone clicked to the end. A healed wound proves something crossed from the screen to the ward. Only one of those belongs in the report.
Design parameters
The constraints that shaped the build
Accessibility
WCAG
Language
Medical terminology
Identity
GHA branding
Tooling
Rise 360 · Descript
Typography and colour were chosen for clinical readability: legible on a ward workstation at the end of a long shift, not just on a designer’s monitor.
05 // Debrief
Questions worth asking
Balancing clinical rigour with content clinicians would actually finish. Accuracy that nobody completes protects no one. Brevity that cuts the evidence is worse.
Iterative feedback loops with clinical stakeholders are the only way to land both accuracy and usability. You build with them, not for them.
Yes. Pilot modules launched within the scheduled 12-week cycle and were revised on clinician feedback before full release.
Nurses, clinicians and wound-care specialists working inside Gibraltar’s public health system.
Direct collaboration with GHA’s healthcare leaders, current clinical guidelines, and contemporary evidence-based wound-care practice, all aligned to the Authority’s 2025 healthcare goals.
Training that ends at the bedside, not at the completion screen.
The module is live. Open it and walk the decisions the way a nurse would, one patient, one wound, one choice at a time.
Travel well. And prosper. — Ed Reif