The results of the development of a coached learning program to promote nursing ability Operating room for nursing patients undergoing coronary artery bypass grafting surgery, Nakhonpathom Hospital
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Abstract
The purposes of this developmental research were to develop a coaching learning program and to study the effect of the program implementation. The sample was selected using purposive sampling and consisted of 4 doctors, 12 nurses, and 60 patients. The research instrument was a coaching learning program and composed of a handbook of coronary artery bypass surgery for nurses, training schedule, skill training, coaching schedule and nursing practice. The Delphi technique was used to examine the quality of the program. Data collecting tools consisted of knowledge and skill assessment, satisfaction questionnaire of the nurses, doctors, and patients. The Kuder Richardson and Cronbach's alpha coefficient were used to assessed the quality of the data collecting tools yielding validity of 0.91-0.94. Data were analyzed using percentage, mean, standard deviation, independent statistics and Wilcoxon side-rank test.
The results showed that a coaching learning program to promote the ability of the operating room nurses on caring for the patients with coronary bypass surgery consisted of nursing manual, coaching guide, training schedule, skill training, coaching schedule and nursing practice. The results of the program implementation revealed that the competency score of the operating room nurses after using the program (Mean 57.75 SD 1.48) was higher than before entering the program (Mean 49.17 SD 2.08), yielding statistically significant level of 0.01. The operating room nurses did perform every step completely at 100 percent and reported a high level of satisfaction score (Mean 4.53 SD 0.5). Service users and physicians were satisfied at a high level (Mean 4.05 SD 0.35). The patients were satisfied at a high level (Mean 4.31 SD). 0.51). The service quality and the duration of the surgery between the control and the experimental groups were significantly different at the 0.01 level. There was no incidence of postponement surgery due to the nursing team.
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