Development of a Nursing Care Service for Neonatal Intensive Care Unit to High-Performance Organization
Article Sidebar
Main Article Content
Abstract
Abstract
This research and development study aimed to develop and study the effectiveness of the developed nursing care services for neonatal critical care patients towards a high-performance organization. This study consisted of 3 phases: (1) situation analysis; (2) development of the nursing care services for neonatal critical care patients; and (3) evaluation the service effectiveness. The sample consisted of 30 registered nurses, 30 neonatal critical care patients, and 30 primary caregivers. The research instrument was the developed nursing service. Data collection tools included the Ministry of Public Health's High Performance Organization Development Assessment Form, the patient and family characteristics and needs assessment form, the nurse competency assessment form, the nurse and primary caregiver satisfaction assessment form, and the neonatal critical care patient safety recording form. The content validity was checked, yielding values of .88 - .99. Data were analyzed using descriptive and inferential statistics.
The results revealed that the developed nursing care services for neonatal critical care patients had 3 effective aspects: (1) quality consisted of 1.1 inpatient quality assessment score had increased from 62.00% to 81.00%, 1.2 satisfaction score of the nurses towards the developed nursing care services was very high level at 86.00%; (2) acceptability included 2.1 the competency scores of the nurses before and after the development were significantly different (p < .05), 2.2 the average score of the development of high-performance organizations had increased from 3.78 to 4.21; (3) effectiveness consisted of 3.1 the incidence and complications before and after using the developed nursing services were significantly different (p < .05), 3.2 the satisfaction of the primary caregivers towards the developed nursing care services was the highest level at 96.00 percent.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Reference
World Health Organization. Newborn mortality statistics; 2022 [cited 2024 Nov 10]. Available from: www.who.int.
Ministry of Public Health. Report on the situation of maternal and child health for the year 2022. Bangkok: Office of Health Policy and Strategy; 2022. Thai.
Phra Nakhon Si Ayutthaya Hospital. Report on patient statistics at Phra Nakhon Si Ayutthaya Hospital. Medical Records and Statistics Group Phra Nakhon Si Ayutthaya Hospital. 2022. Thai.
Thai Neonatal Society. Report on the situation of newborn care in Thailand. Bangkok: Pediatric Association of Thailand. 2022. Thai.
Beck, C. T., & Harrison, L. Postpartum depression: A meta-analysis of the effects on parenting and child development. Journal of Maternal Health. 2020;15(2),123-35.
March of Dimes. The economic and social impact of preterm births; 2021. [cited 2024 Sep 15]. Available from: www.marchofdimes.org.
Ministry of Public Health. Guidelines for developing high performance organizations Ministry of Public Health MoPH - 4T; 2023. [cited 2024 Nov 10]. Retrieved from: chrome- extension:// kdpelmjpfafjppnhbloffcjpeomlnpah/https://spd.moph.go.th/wp-content/uploads/2023/04/MoPH-4T.pdf. Thai.
Burin Jindaphan. Factors influencing being a high-performance organization of the Kalasin Provincial Public Health Office. Journal of Health Research and Innovation Development. 2023;4(3):102-11. Thai.
Sarayut Phanumonwathi Uthai Nipaccakarnsunthorn and Kanyarat Kanyakarn. Development of a high-performance organizational management model for the Public Health Office, Mueang Ubon Ratchathani District, Ubon Ratchathani Province. Environmental Health Journal. and community health. 2024;9(5):813-17. Thai.
Maliwan Sisan, Peeraphong Thipanak and Phonthep Muangman. Improving the quality of management towards a high-performance organization of the Faculty of Nursing. Private universities in Bangkok. Journal of Roi Kaensarn Academi. 2566;8(12),224-40. Thai.
Dusanee Yotthong. Guidelines for developing management quality towards a high-performance nursing organization: A case study of Siriraj Hospital. Bangkok: Siam University; 2018. Thai.
Khalifehzadeh A, Jahromi MK, Yazdannik A. The impact of Synergy Model on nurses' performance and the satisfaction of patients with acute coronary syndrome. Iran J Nurse Midwifery Res. 2012;17(1):16-20.
Curley MA. Patient-nurse synergy: optimizing patients' outcomes. Am J Crit Care. 1998; 7(1):64-72.
Kummatid A, & Markrat M. Using the Systematic Review to Provide a Complete Summary on a Research Question in Evidence-Based Practice: A 3-Step Method. The Southern College Network Journal of Nursing and Public Health. 2016;3(3):246-59.
Benner, P. From novice to expert: Excellence and power in clinical nursing practice. Menlo Park: Addison-Wesley, 1983: pp. 13-34.
Institute of Medical Research & Technology Assessment. Appraisal of Guideline for Research & Evaluation II; AGREE II [Internet]. 2013 [cited 2023 Jan 18]. Available form: https://www.agreetrust.org/wp-content/uploads/2013/09/Thai-AGREE-II.pdf. Thai.
Stufflebeam, D. L., & Shinkfield, A. J. Evaluation theory, models and applications. San Francisco, CA: Jossey-Bass, 2007.
Krejcie RV, Morgan DW. Determining sample size for research activities. Educ Psychol Meas. 1970;30(3):607-10.
Likert R. A technique for the measurement of attitudes. Arch Psychol. 1932;22(140):1–55.
Chaweewan Thongchai. Apply the synergy model for caring critical ill patients. Thai Journal of Nursing and Midwifery practice 2015;2(1):5-18. Thai.
Larsen DL, Attkison, CC, Hargreaves WA, Nguyen TD. Assessment of client/ patient satisfaction: Development of a general scale. EvalProgramPlann. 1979;2(3):197- 207.
Ronnachai Kongsakon, Teerakiat Jareonsettasin. Reliability and validity of a new measure of patient satisfaction (CSQ-8) Thai version with psychiatric care: Journal of the Psychiatric Association of Thailand. 2000;45(2):155-6. Thai.
Wimolrat Chaowinai, Sutteeporn Moolsart & Wonpen Kaewpan. The Model of Neonatal Nursing Competency Development of Professional Nurses at Neonatal Intensive Care Unit, Panyananthaphikkhu Chonprathan Medical Center. Journal of The Royal Thai Army Nurses 2019;20(3):256-65. Thai.
Thanakit Yongyut, Phanompatt Smitananda, & Noppon Akahat. The Development Towards A High Performance Organization of Chaibadan District Prison, Lopburi Province. Governance Journal 2021;10(1):474-97. Thai.
