Development of Clinical Nursing Practice Guideline for Nurse Anesthetist in nursing care of Patients who received Mitral Valve Replacement under General Anesthesia at Sunpasitthiprasong Hospital UbonRatchathani
Article Sidebar
Main Article Content
Abstract
Abstract
The objective of this research and development was to develop and study the results of the develoed clinical nursing practice guideline (CNPG) for nurse anesthetist in patients who received mitral valve replacement under general anesthesia. The study consisted of 4 steps (1) studied situation, (2) developed CNPG, (3) implemented CNPG, and (4) evaluated CNPG. The sample consisted of 55 nurse anesthetist and 30 patients undergoing mitral valve replacement. The research instrument included the CNPG, verified by 3 experts yielding a value of 1. Data were collected using (1) the CNPG opinion questionnaire, (2) assessment the compliance with the CNPG, (3) anesthesia knowledge test, (4) the patients’ satisfaction questionnaire, and (5) self-care ability assessment. Conbach’s alpha coefficient were .87, .81, .79, .82, and .82respectively. Data were using descriptive statistics and t-test.
The results revealed that the CNPG consisted of 3 components (1) CNPG for pre-anesthetic phase, (2) CNPG for intra-anesthetic phase, and (3) CNPG for post-anesthetic phase. The outcomes of using the CNPG found that the nurse anesthetist’ knowledge mean score were significantly higher than before using the CNPG at .05. The nurse anesthetist’s overall opinions were at the highest level (Mean 3.61, SD .45) and the overall practice scores were at a high level (Mean 3.46, SD .48). The patient’s overall satisfaction scores were at the highest level (Mean 3.56, SD .50). The quality outcomes of the nursing services showed that the rate of pre-anesthesia and post-anesthesia visits of the patients was 100 percent, and did not found the incidence of complications during anesthesia
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
References
Watcharaksa K.Text Book of Anesthesia. In: Prakarnrat A, Sanansilp W, Suksompong S, Toomthong P, editors. Anesthesia for congenital heart surgery. 4th ed. Bangkok: A-Plus Print, 2013; 333-48. Thai.
Siriboonphiphatana P. Pediatric Nursing Volume 2 (revised edition): Nursing Care of Pediatric Cardiovascular and Circulatory System. Bangkok: Tana Press Printing Services, 2012. Thai.
Naruenat Lomarat.Caring for patients with heart disease undergoing surgery. In: Sirivanasandha B, Waitayawinyu P, Toomthong P, editors. Anesthesia and Perioperative care. Bangkok: A-Plus Print, 2013; 229-346. Thai.
Dima C, Talavera F,Compton SJ, O'Brien TX, Prisant LM, Desser KB. Mitral Stenosis Treatment & Management [Internet]. 25 Medscape; 2018 [cited 2018 Aug 10]. Available from: https://emedicine.medscape.com/article/155724-treatment#d10.
Samad K, Hashmi M. Anesthetic Management for Open Heart Surgery and Extracorporeal Circulation. 2016;20 Suppl 1:S140-5.
Suwannakit P. Heart-Lung Machine: Principle and Practice. Phitsanulok: Naresuan University Publishing House, 2018. Thai.
Katchamat W. Update in International Medicine 2014. In :Charatcharoenwitthaya P, Katchamat W, Phisalprapa P, editors. How to use clinical practice guideline in clinical practice. Bangkok: Parbpim Limited Partnership, 2014; 1-9. Thai.
Udomthanathira K. PDCA cycle/ Quality Control Cycle or Deming Cycle. [Internet]. 2018 Nov 18 [cited 2021 Jan]; Available from: https://www.iok2u.com/index.php/article/innovation/240-pdca-cycle-deming-cycle. Thai.
Soukup M. The center of advance nursing practice evidence-based practice model promoting the scholarship of practice. NursClin North Am 2000;35(2):301-9.
The Joanna Briggs Institute. JBI Levels of evidence and grades of recommendation. [Internet] 2013 [cited 2019 March 8]; [5 screens]. Available from:https://joannabriggs.org /sites/default/files/2019-05/JBI-grades-of-recommendation_2014.pdf.
Institute of Medical Research and Technology Assessment, Ministry of Public Health. The Appraisal of Guidelines for Research & Evaluation. The AGREE II (2013) Thai Version. [Internet]. 2013 [cited 2019 Aug 1]; Available from:https://www.agreetrust.org/wp-content/ uploads/2013/09/Thai-AGREE-II.pdf. Thai.
Thitibordin B. The patient’s satisfaction with preanesthetic preparation for cardiovascular surgery. Thai J Anesthesiol. 2016;42(3):192-8. Thai.
Jinatit J, Asdornwised U, Pinyopasakul W, Slisatkorn W. The Effectiveness of Continuing Care Program in Valvular Heart Surgery Patients Receiving Warfarin on Warfarin Adherence and Dietary Consumption Behavior. J Nurs Sci. 2015;33(1):24-32.
Thitibordin B, Siriphuvanun V. Clinical practice guideline development for nurse anesthetist taking care of patients who receive coronary artery bypass graft (CABG) surgery under general anesthesia in Maharaj Nakorn Chiang Mai Hospital. Thai J Anesthesiol. 2017; 43(2):144-56. Thai.
