Development of Clinical Nursing Practice Guidelines for Pregnant Women with Preterm Labor Receiving Tocolytic Therapy in the Labor Unit, Nakhon Phanom Hospital
Keywords:
clinical nursing practice guideline, pregnant woman, preterm labor, tocolytics therapyAbstract
This research and development study aimed to develop and evaluate the effectiveness of Clinical Nursing Practice Guidelines (CNPG) for pregnant women with preterm labor receiving tocolytic therapy at the Labor Unit, Nakhon Phanom Hospital.The study was conducted in two phases: 1) development of the guidelines through the synthesis of seven research studies based on JBI criteria, and 2) pilot implementation with a purposively selected sample of 12 professional nurses and 30 pregnant women. The research instruments consisted of the CNPG, integrated with nursing process, and a five-part evaluation tool comprising: 1) general information, 2) nursing activity adherence, 3) quality of the guidelines, 4) user satisfaction, and 5) feasibility of implementation. The instruments were validated by three experts (CVI = 0.93) with a reliability coefficient (KR- 20) of 0.75. Data were analyzed using descriptive statistics. The findings revealed that professional nurses achieved a high adherence rate of over 93.33% during the initial and critical phases. Regarding clinical outcomes, none of the pregnant women experienced tocolytic related complications, and 83.33% successfully delayed labor for at least 48 hours. Furthermore, 100% of the nurses rated the guidelines as high quality and beneficial. The developed nursing practice guidelines are appropriate and should be implemented in labor units to enhance the quality of care for pregnant women with preterm labor receiving tocolytic therapy.
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References
Walani SR. Global burden of preterm birth. International Journal of Gynecology & Obstetrics. 2020;150(1):31-3.
American College of Obstetricians and Gynecologists. Prediction and prevention of spontaneous preterm birth: ACOG practice bulletin, number 234. Obstetrics and Gynecology. 2021;138(2):e65-e90.
Vogel JP, Chawanpaiboon S, Moller AB, Watananirun K, Bonet M, & Lumbiganon P. The global epidemiology of preterm birth. Best Practice & Research Clinical Obstetrics & Gynaecology. 2018;52:3-12.
Ohuma EO, Moller AB, Bradley E, Chambers J, Hussain-Alkhateeb L, Lewin A, et al. National, regional, and global estimates of preterm birth in 2020, with trends from 2010: a systematic analysis. The Lancet. 2023;402(10409):1261-71.
Chansiri P, & Phumonsakun S. Factors predicting preterm labor among pregnant adolescents. Journal of The Royal Thai Army Nurses. 2020; 21(1):231-40. (in Thai)
Dagklis T, Akolekar R, Villalain C, Tsakiridis I, Kesrouani A, Tekay A, et al. Management of preterm labor: clinical practice guideline and recommendation by the WAPM-World Association of Perinatal Medicine and the PMF-Perinatal Medicine Foundation. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2023;291:196-205.
Piriyasut R, Songka S, & Panit P. The development of continuous care model for pregnant women with preterm labor at Kumphawapi Hospital, Udon Thani Province. Academic Journal of Pacific Institute of Management Science. 2018;4(2):376-88. (in Thai)
Jordan Z, Lockwood C, Munn Z, & Aromataris E. The updated JBI model for evidencebased healthcare. International Journal of Evidence-Based Healthcare. 2019;17(1):58-71.
Eriksen MB, & Frandsen TF. The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: a systematic review. Journal of the Medical Library Association. 2018;106(4): 420-31.
Bargeri S, Iannicelli V, Castellini G, Cinquini M, & Gianola S. AGREE II appraisals of clinical practice guidelines in rehabilitation showed poor reporting and moderate variability in quality ratings when users apply different cuff-offs: a methodological study. Journal of Clinical Epidemiology. 2021;139:222-31.
Whitehead, A. L., Julious, S. A., Cooper, C. L., & Campbell, M. J. Estimating the sample size for a pilot randomised trial to minimise the overall trial sample size for the external pilot and main trial for a continuous outcome variable. Statistical Methods in Medical Research,2016 25(3), 1057-73.
Butrhin S, & Panthasri W. Effects of social support program on anxiety in pregnant women of preterm labor. Journal of Health Sciences and Pedagogy. 2024;4(3):17-31. (in Thai)
Raksatham C, Kaiphol T, & Khungtumneam K. The practiced guideline for continuing care of pregnant women with preterm labor. Journal of The Royal Thai Army Nurses. 2018;19 (Supplement):348-56. (in Thai).
Toontham K,& Supathaweewat S. Factors associated with preterm birth, accuracy rate and coverage rate of the clinical guideline of preterm labor and success rate in preterm uterine contraction inhibition in Mahasarakham Hospital. Mahasarakham Hospital Journal. 2023;20(2):75-88.
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