Clinical Nursing Practice Guideline Development for New Glaucoma Patients
Clinical Nursing Practice Guideline for New Glaucoma Patients
Keywords:
Clinical Nursing Practices Guidelines, New Patients, GlaucomaAbstract
Glaucoma is a leading cause of vision loss, requiring standardized initial care to mitigate disease severity. This research aimed to develop and evaluate a nursing practice guideline for newly diagnosed glaucoma patients. The study was conducted from April 2023 to September 2024, employing a four-phase process: (1) problem analysis, (2) guideline development, (3) guideline implementation, and (4) evaluation. The sample comprised four registered nurses and 30 newly diagnosed glaucoma patients. Qualitative data were analyzed using content analysis, and quantitative data were analyzed using frequency, percentage, mean, standard deviation, and the Wilcoxon signed-rank test. The developed guideline covers three phases: pre-examination, examination, and post-examination, integrating the five steps of the nursing process. Results showed a statistically significant increase in patient knowledge regarding the disease, eye drop administration, and appointment adherence post-guideline implementation. While nurses had no difference in knowledge scores before and after using the guidelines. Both nurses and patients reported the highest level of satisfaction with the guideline. This practice guideline should be continuously applied and expanded to interdisciplinary teams for comprehensive long-term patient care
References
World Health Organization. Blindness and vision impairment [Internet]. 2021 [cited 2023 Oct 5]. Available from: https://www.who.int/news-room/fact-sheets/detail/blindness-and-visual-impairment
Quigley HA, Broman AT. The number of people with glaucoma worldwide in 2010 and 2020. Br J Ophthalmol [Internet]. 2006 [cited 2023 Oct 5];93(3):262-7. Available from: https://pubmed.ncbi.nlm.nih.gov/16488940/
Allison K, Patel D, Alabi O. Epidemiology of glaucoma: The past, present, and predictions for the future. Cureus 2020;12(11):e11686. doi:10.7759/cureus.11686
Sri-Phon P. The prevalence of visual impairment in glaucoma patients. Chaiyaphum Med J [Internet]. 2018 [cited 2023 Dec 19]. Available from: https://thaidj.org/index.php/CMJ/article/view/7316/6704
Chantra S. Eye problem in aging. Healthtoday Thailand 2010;10(110):88-91.
Babic M, De Moraes CG, Hatanaka M, Ju G, Susanna R Jr. Reproducibility of the water drinking test in treated glaucomatous patients. Clin Exp Ophthalmol 2015;43(3):228-33.
DiMatteo MR, Lepper HS, Croghan TW. Depression is a risk factor for noncompliance with medical treatment: Meta-analysis of the effect of anxiety and depression on patient adherence. Arch Intern Med 2000;160(14):2101-7. doi: 10.1001/archinte.160.14.2101
Chang LC, Teng MC, Chang HW, Lai IC, Lin PW, Tsai JC. The probability of blindness in patients treated for glaucoma. Chang Gung Med J [Internet]. 2005 [cited 2023 Nov 12];28:492-7. Available from: https://tvst.arvojournals.org/article.aspx?articleid=2212990
American Nurses Association. What is evidence-based practice in nursing? [Internet]. NursingWorld.org; 2023 Jun 1 [cited 2025 Mar 29]. Available from: https://www.nursingworld.org/content-hub/resources/workplace/evidence-based-practice-in-nursing/
Kanhadilok S, Punsumreung T, Malai C. Evidence-based teaching strategies in nursing. J Nurs Health Care [Internet]. 2017 [cited 2025 Apr 22];35(4):171–9. Available from: https://he01.tci-thaijo.org/index.php/jnat-ned/article/view/111723
Data and Information Center, Somdejphrajaotaksinmaharaj Hospital. Report of people with glaucoma, 2021-2023. Tak: Somdejphrajaotaksinmaharaj Hospital; 2023.
Bangkok Hospital Pattaya. Glaucoma: Causes, symptoms and diagnosis [Internet]. Bang Lamung, Chonburi, Thailand: Bangkok Hospital Pattaya; [date unknown]. [cited 2024 Jun 19]. Available from: https://bangkokpattayahospital.com/th/health-articles-th/eye-th/glaucoma-th-2/
The Joanna Briggs Institute. Reviewers’ manual 2014 edition [Internet]. Adelaide, South Australia, Australia: The Institute; 2014 [cited 2019 May 1]. Available from: http://www.joannabriggs.org/assets/docs/sumari/reviewersmanual-2014.pdf
Best JW. Research in education. 7th ed. Boston, Massachusetts, USA: Allyn and Bacon; 1997.
American Academy of Ophthalmology. Glaucoma summary benchmarks. San Francisco, California, USA: American Academy of Ophthalmology; 2023. Available from: https://www.aao.org/education/summary-benchmark-detail/glaucoma-summary-benchmarks-2020
Wattanawaekin N. Glaucoma and the self-care requisites. Rama Nurs J 2000;6(3):222-30.
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