การพัฒนาแนวปฏิบัติทางการพยาบาลสำหรับการวางแผนจำหน่ายในผู้ป่วยศัลยกรรมประสาทที่ได้รับการดูแลแบบประคับประคองในระยะเปลี่ยนผ่าน และระยะสุดท้ายของชีวิต โรงพยาบาลมหาราชนครเชียงใหม่
Keywords:discharge planning, neurosurgical patients, palliative care
Objectives This study aims to develop clinical nursing practice guidelines, and investigate the feasibility of implementing the guidelines for discharge planning among neurosurgical patients in transitional and end of life stage of palliative care, Neurosurgical Ward, Maharaj Nakorn Chiang Mai Hospital.
Methods This research is a developmental study based on the concept of a 12-steps clinical practice development of the Australian National Health and Medical Research Council, conducted between November 2014 to August 2017. The samples were divided into two phases: 1) clinical nursing practice development phase, and 2) trial clinical nursing practice phase. Data were collected using personal data questionnaires, clinical nursing practice guideline questionnaires, and overall clinical nursing practice opinion questionnaires. The data were analyzed using descriptive statistics.
Results The clinical nursing practice guidelines for discharge planning among neurosurgical patients in transitional and end of life stage of palliative care includes 25 recommendations, divided into four phases: 1) assessment phase: provision of timely and informative risk screening; 2) planning phase: commencement of the preparation of a discharge plan; 3) implementation phase: timely notification of community providers and provision of a timely and informative discharge summary; and 4) evaluation phase: follow - up of discharge plan. Clinical nursing practice guideline users view that there is an implementation feasibility from 80 to 100 percentages of 25 recommendations, and the content of all clinical nursing practice guidelines should be preserved.
Conclusions The clinical nursing practice guidelines were feasible for discharge planning among neurosurgical patients in transitional and end of life stage of palliative care and could be operated the quality of discharge planning audit form.
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