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.
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