The Development of Clinical Nursing Practice Guideline for Patients receiving One-Day Surgery Procedures in Phichit Hospital
Keywords:
Clinical Nursing Practice Guideline for Patients Receiving One-Day SurgeryAbstract
The one-day surgery (ODS) procedure has been considered and wide spread to become the highlight guideline for improving the quality of care for problems such as packed patients, the long duration of patients’ waiting time, and for staff to develop the standard operating guideline for such matters. The implementation of nursing process (Wilkinson, 1996) was employed to study the development of a clinical nursing practice guideline for patients receiving one-day surgery procedures at Phichit Hospital. The Plan Act Observe Reflect (PAOR) model method (Kemmis and McTaggart, 1987) was applied to collect data from research participants consisting of 50 nurses and 50 patients. The study was organized from August 2018 to June 2019. The research tool consisted of action tool namely patient and nursing practice record froms, and programs to develop, the knowledge and ability for nurses, and data were collected by using nursing knowledge and competencies questionnaires, the complication report and the level of nurse and patients’ satisfaction. Qualitative data were analysed using content analysis and quantitative data by descriptive ststistic. The results show that the development of a clinical nursing practice guideline for patients receiving one-day surgery procedures can improve the quality of health service and patients can take care of themselves properly, with no complications and no re-admission after surgery. The evaluating nurses’ knowledge revealed that post-test scores were higher than pre-test scores and statistical significant (p <.001) and the post-treatment mean scores of their competency levels were higher than the pre-treatment scores competent scores and statistical significant (p < .001). Nurses reported that they had high satisfaction levels together with surgical patients who rated the highest level of satisfaction towards nursing care. The findings suggest that to improve the quality of nursing care for patients receiving one-day surgery procedures at all levels of health care system (primary, secondary and tertiary level, the ODS one stop service should be built up as well as the enhancement of networking capacity building, visiting program by phone and knowledge of health in order to provide the best health services to patients before allowing turning them to back to their family and community.
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