Development of Nursing Practice Guidelines for Patients with Traumatic Brain Injury in Surgical Department, Nakhon Phanom Hospital
Keywords:
Development of Nursing Practice Guidelines (CNPG), Patients with traumatic brain injury, Surgical DepartmentAbstract
This research aimed to develop and investigate the outcomes of the CNPG for traumatic brain injury patients at the Surgical Department, Nakhon Phanom Hospital. There were 117 samples: 50 traumatic brain injury patients and caregivers and 67 registered nurses. The research tool consisted of two parts: the CNPG developed based on the National Health and Medical Research Council, consisting of 4 phrases: situation analysis; development of guidelines, application and evaluation and 2) the data collection form, consisting of 4 parts: patients and caregivers’ satisfaction, feasibility of the CNPG, test and observation form of nurses’ performance with the IOC of 0.92 and the reliability of 0.88, 0.84, 0.81, 0.80, respectively. The whole reliability was 0.84. Frequency distribution, percentage, mean, standard deviation and Wilcoxon Sign Rank Test were employed for data analysis.
1) The CNPG for patients with traumatic brain injury and the nursing record consisted of 3 components: critical care, rehabilitation and discharge planning. 2) No deaths were found. The mean GCS score before discharge was significantly higher than when admitted (p <.01). The patients and caregivers’ overall satisfaction and the feasibility of the CNPG were at a high level (M=4.34, SD=0.66) and (M=4.29, SD=0.50), respectively. The knowledge score after implementing the CNPG was significantly higher than that of before the implementation (p <.01).
The CNPG should be applied in the care of traumatic brain injury patients in the Surgical Department and in the long run to keep patients safe and reduce disabilities and complications from prolonged bed rest.
Downloads
References
Panjaisri S, Phuenpathom N, Veerasarn K. Clinical Practice Guidelines for Traumatic Brain Injury. Bangkok : Tana Press & Graphic company Limited; 2013. (in Thai)
Dewan MC, Rattani A, Gupta S, Baticulon RE, Hung YC, Punchak M, et al. Estimating the global incidence of traumatic brain injury. Journal of neurosurgery. 2018; 130(4): 1080 - 97.
Potaya S. The Glasgow Coma Scale. Journal of The Royal Thai Army Nurses. 2018; 19 (1) : 30 - 8. (in Thai)
Utaisang A, Pearkao C. Factors Associated with Severity Level of Post-Concussion Syndrome in Patients with Mild Traumatic Brain Injury. The National and International Graduate Research Conference. 2016: 668 - 77. (in Thai)
Nakhon Phanom Hospital. Top 5 Nakhon Phanom Hospital causes of deaths,2022; 2022. (in Thai)
Andelic N, Howe EI, Hellstrom T, Sanchez MF, Lu J, Lovstad M, et al. Disability and quality of life 20 years after traumatic brain injury. Brain and behavior. 2018; 8(7): 1-10.
Varghese R, Chakrabarty J, Menon G. Nursing Management of Adults with Severe Traumatic Brain Injury: A Narrative Review. Indian Journal of Critical Care Medicine. 2017; 21(10): 684 - 97.
Ganefianty A, Songwathana P, Nilmanat K. Transitional care programs to improve outcomes in patients with traumatic brain injury and their caregivers: A systematic review and meta-analysis. Belitung Nursing Journal. 2021; 7(6): 445 - 56
National Health and Medical Research Council. (NHMRC). A guide to the developmental, implementationand evaluation of clinical practice guidelines. National Health and Medical Research Council. Australia; 1999.
Smith LS. How to use Focus charting. Nursing. 2000; 30(5): 76 - 7.
Phunawakul S, Reungsri N, Montarak O, Kongros J. The Development of Clinical Nursing Practice Guideline for Patients with Surgery from Traumatic Brain Injury in Phichit Hospital. Journal of the Department of Medical Services. 2017; 42(6): 102 - 7. (in Thai)
Issaraphan K, Rojcheewin P. The Development of Clinical Nursing Practice Guideline for Patients with Surgery from Traumatic Brain Injury. Journal of Health Science. 2016; 5(5): 823 - 30. (in Thai)
Ongiem A, Vichitvejpaisal P. Validation of the Tests. Thai Journal of Anesthesiology. 2018; 44(1): 36-42 (in Thai)
Tayraukham S. Research methodology in social sciences and humanities. Kalasin: rasan Kanpim; 2008. (in Thai)
Koo TK, Li MY. A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. Journal of Chiropractic Medicine. 2016; 15(2): 155 – 63.
The Joanna Briggs Institute. Reviewers’ Manual 2014 Edition: Systematic Review; Protocol; Effectiveness; Qualitative; Economic; and Methods. Australia : Graphic Design and cover photography by Martin Williams; 2014.
Khiewchaum R, Wattana C. Holistic Nursing for Traumatic Brain Injury Patient. Journal of Phrapokklao Nursing College. 2017; 28(1): 129 - 39. (in Thai)
Kochaipath P, Intarit L. The Development of Nursing Care Model for Traumatic Brain Injury Patients in Community Hospital. Journal of phrapokklao nursing college. 2020; 30(2): 203 - 18. (in Thai)
Sopon A, Chumnanborirak P, Promtee P, Yutthakasemsunt S, Pochaisan O. The development model of severe traumatic brain injury: Case management study. Journal of Nursing Science Chulalongkorn University. 2017; 29(3):126 - 38. (in Thai)
Phuenpathom N, Srikitwilaikul. Editors. Clinical Practice Guidelines for Traumatic Brain Injury. Bangkok : Prosperous plus company Limited; 2020. (in Thai)
Kerdchuen K, Jittasusuttho Y, Panyapradit C. The Role of Nurses in Caring for Severe Head Injury Patients from Hospital to Home Care. Journal of Health and Nursing Education. 2021; 28(1): 1-13. (in Thai)
Varghese R, Chakrabarty J, Menon G. Nursing Management of Adults with Severe Traumatic Brain Injury: A Narrative Review. Indian Journal of Critical Care Medicine. 2017; 21(10): 684 - 97.
Marshall S, Bayley M, McCullagh S, Velikonja D, Berrigan L. Clinical practice guidelines for mild traumatic brain injury and persistent symptoms. Canadian Family Physician. 2012; 58(3): 257 - 67.
Prachuablarp C. Increased Intracranial Pressure in Patients with Brain Pathology: A Dimension of Evidence-Based Nursing Practice. Thai Journal of Nursing Council. 2018; 33(2): 15 - 28. (in Thai)
Yang L, Liao D, Hou X, Wang Y, Yang C. Systematic review and meta-analysis of the effect of nutritional support on the clinical outcome of patients with traumatic brain injury. Annals of Palliative Medicine. 2021; 10 (11): 11961- 69
Ganefianty A, Songwathana P, Nilmanat K. Transitional care programs to improve outcomes in patients with traumatic brain injury and their caregivers: A systematic review and meta-analysis. Belitung Nursing Journal. 2021; 7(6): 445 - 56.
Pattuwage L, Olver J, Martin C, Lai F, Piccenna L, Gruen R, et al. Management of spasticity in moderate and severe traumatic brain injury: evaluation of clinical practice guidelines. Journal of head trauma rehabilitation. 2017; 32(2): E1 - 12.
Plucktaweesak S, Thongtanunam Y, Yuadyong S. Development of care for patients with moderate to severe traumatic brain injury at Pranangklao Hospital. Journal of health science research. 2020; 14(3): 71-82. (in Thai)
Thaiudom A, Lumnok N. Development and Evaluation of Evidence-based Nursing Protocol for Patients with Moderate to Severe Traumatic Brain Injury. Journal of The Royal Thai Army Nurses. 2018; 19(3):107-16. (in Thai)
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความหรือข้อคิดเห็นใดใดที่ปรากฏในวารสารพยาบาลทหารบกเป็นวรรณกรรมของผู้เขียน ซึ่งบรรณาธิการหรือสมาคมพยาบาลทหารบก ไม่จำเป็นต้องเห็นด้วย
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลทหารบก
The ideas and opinions expressed in the Journal of The Royal Thai Army Nurses are those of the authors and not necessarily those
of the editor or Royal Thai Army Nurses Association.
