Journal of Health Sciences Scholarship

Nursing Care for Patients with Mild Traumatic Brain Injuries: The Role of Emergency Nurses

Phoomin Doungsuriya — 2024-05-30

This article aims to: 1) know the importance of assessing mild traumatic brain injury. 2)Guidelines for caring for patients with mild brain injuries who received treatment in the emergency room. The concept of standard care for mild traumatic brain injury care is introduced. Become a guideline for caring for patients with mild brain injuries. That needs to be cared for in the emergency room to prevent secondary traumatic brain injury

Essential care for patients with mild traumatic brain injury who receive treatment in the emergency room includes the pathophysiology of after traumatic brain injury, severity classification, competencies and roles of nurses in caring of patients with mild brain injuries include: initial assessment, monitoring, and discharge from the emergency room to appropriately prevent and reduce the risk of complications from secondary traumatic brain injury.

The Effectiveness of Motion Graphic Education Media for Preventing Infections in Cancer Patients Undergoing Chemotherapy

Nida Matejitkul — 2024-02-01

Abstract

This study was two-group, pretest-posttest quasi-experimental study design, aimed to study the effectiveness of the motion graphic media for preventing infection in cancer patients undergoing chemotherapy. Samples were 98 cancer patients, undergoing chemotherapy at Lampang Cancer Hospital selected by using the purposive sampling method. Participants were divided into 2 groups: 49 patients for the group receiving the motion graphic and the other 49 patients for the normal care group. The instruments consist of 1) the motion graphic media for preventing infection in cancer patients undergoing chemotherapy, 2) a knowledge test of preventing infections, and 3) a behavior of preventing infection questionnaire. Descriptive statistics included means, percentage, standard deviation. Analytical statistics were dependent t-test and independent t-test. The result revealed that 1) the group receiving the motion graphic had higher average score of knowledge and behavior in preventing infections than before the experimentation statistically significant (p<.001). 2) After the experiment, the group receiving the motion graphic had higher average score of knowledge and behavior in preventing infections than the comparison group statistically significant (p<.001). The result of the study showed effectiveness that the developed motion graphic media increased knowledge and behavior on preventing infections for cancer patients undergoing chemotherapy, for the benefit of adapting to daily life and preventing severe infections.

The Development of Triage System at Emergency Department in Community Hospitals, Phra Nakhon Si Ayutthaya Province

surat sukswang — 2024-02-01

The objectives of this research and development were to 1) study the situation and problems of the triage system 2) develop the triage system 3) evaluate the results of the triage system in the Emergency accident department of a community hospital in Phra Nakhon Si Ayutthaya Province. The research was divided into 4 phases: Phase 1: studies the situation and problems Phase 2: designs and develops. Phase3 try out, the sample consisted of 30 nurses in the emergency department. Phase 4: evaluate the results. Research instruments consist of: 1) emergency triage process emergency triage record form guidelines for triaging emergency 2) guidelines of question for group discussions and after-action reviews 3) assessment of knowledge and behavior in the emergency triage process. Data were analyzed using descriptive statistics, Paired t-test statistics and content analysis.

The results revealed 1) Problem situation: every hospital uses 5 levels of triage. There was a process for triage in some places. Need a secure and uniform triage system used everywhere. 2) The developed triage system consists of a triage process, triage record form and guidelines for triaging emergency patients 3) the knowledge and behavior in the process of triaging emergency had increased statistically significant at <.001. They were satisfied with the triage system at the highest level, from after-action reviews, it was found that the developed triage system had a process rapidly finding emergency critical patients, no patient’s found condition deteriorates while waiting. The triage record had completed and sufficient information and help make patients safer. Therefore, a patient triage system should be implemented for rapid triage. and has increased safety arrange for specialized triage nurses and organize patient triage training to increase the competency of triage nurses.

The Effects of Autonomy Support Program on Self-Management Behaviors and HbA1C Among Older Persons with Diabetes Mellitus in Hang Chat District, Lampang Province

Pikul Audthiya — 2024-02-07

A randomized controlled experiment was conducted to assess the effects of the autonomy support program on the self-management behaviors and HbA₁C of older persons with diabetes. The sample group of 60 people with diabetes at Hang Chat Hospital was divided into two groups: control and experimental, with 30 people in each. A random block size of six was used to create ten blocks, and block sizes were allowed to fluctuate during the sample selection process. Nursing care was provided to the control group in accordance with hospital protocols. The experimental group was given an autonomy support program. A questionnaire with a Cronbach's alpha coefficient reliability score of 0.85 was used to gather data on the self-management behaviors of older persons with diabetes. Chi-squares and descriptive statistics were used to examine the data. The results revealed that the mean self-management behavior scores of the experimental and comparison groups were significantly different (p< .05). Additionally, after enrolling in the program, the experimental group's HbA₁C level was considerably lower than both the control groups and their pre-enrollment level (p <.05). Thus, supporting autonomy can lead to older persons with diabetes exercising good self-management and regulating their HbA1C levels through health education, skill development involving decision-making, eating choices and food intake control according to their needs, and exercise selection based on personal preferences and capabilities. This program should apply to health care services in comparable contexts.

The Effects of Using the Practice Guideline of Oral Massage and Kangaroo Care by Mothers on Preterm Infants’ breastfeeding Behavior at Lampang Hospital

Anongphorn Aupasit — 2024-02-02

This research is a quasi-experimental study with two groups. The study aimed to examine the effect of using the practice guideline of oral massage and kangaroo care by mothers on preterm infants’ breastfeeding behaviors between an experimental and a control group. The participants were 70 preterm infants receiving care in the neonatal intensive care unit at Lampang Hospital, divided into an experimental and a control group. The participant was selected through a purposive sampling method. The control group received standard nursing care, while the experimental group received the practice guideline of oral massage and kangaroo care by mothers. Data were collected using a specifically designed assessment form for breastfeeding behavior in preterm infants, with a Cronbach's alpha reliability coefficient of 0.87. Data were analyzed using descriptive statistics, chi-square statistics, and t-test.

The research findings indicate that: 1)The average score of maternal breastfeeding behavior of preterm infants in the experimental group (Mean=1.74, S.D.=0.51) was higher than that of the control group (Mean=1.48, S.D.=0.56), and this difference was statistically significant at the 0.05. 2) The experimental group had a statistically significantly lower average number of days with a feeding tube compared to the control group (Mean=5.3, S.D.=1.83 and Mean=8.6, S.D.=3.81, respectively), with a p-value less than 0.05. Therefore, nurses should adopt the practice of oral massage combined with Kangaroo Mother Care to improve the efficiency of sucking and swallowing in infants, reduce the number of days with a feeding tube, and promote a good relationship between mother and infant.

Health Behavior Literacy of Older Adults with Chronic Disease in the Community

Muntana Supanpaiboon — 2024-03-28

The objective of this research was to study health behavior literacy of older adults with chronic disease and to study compare the differences of personal factors, health perception, activities of daily living with health behavior literacy of older adults with chronic disease. The sample consisted of 231 older adults with chronic disease who are aged over 60 years old and living in the Nong Pling sub-district, Mueang district, Nakhon Sawan province was randomly selected by using stratified random sampling. The research instrument was a set of questionnaires in personal factors, health perception, activities of daily living, and health behavior literacy. Data was analyzed using descriptive statistics, independent t-test, one-way ANOVA.

The research found that the older adults with chronic disease had health behavior literacy at a high level, an illness duration of 1-5 years, normal health perception, activities of daily living at the level of the group social bound. Age, education level, duration of chronic disease, health perception, and ability to perform daily activities differed in health behavior literacy with statistical significance at the .05 level, except for gender, marital status, and health perception about visual problems, osteoporosis, sleep and average monthly income.

Those involved in nursing and public health, community leaders, and stakeholders can use the results of this research to plan and create activities to enhance health literacy covers all aspects by grouping age, education level, duration of chronic illness, health perception and ability to perform daily activities.

Motivation affecting Family Doctor The Performance of Village Health Volunteers in Nong Wua So District, Udonthani Province

Nomjit Srirach — 2024-04-11

This cross-sectional descriptive research aimed to study motivation factors affecting Family Doctor and the performance of Health Volunteers in Nong Wua So District, Udonthani Province. The study population comprised Village Health Volunteers in Nong Wua So District, Udonthani Province, totaling 174 personnel. For this study, the sample size was calculated to be 139 personnel using Cohen's formula. They were randomly selected as samples through a stratified random sampling technique. Data was collected by questionnaires for quantitative data. The questionnaire was examined and verified by three experts for content validity with items objective congruence (IOC), all items ware more than 0.50, and reliability with Cronbach’s alpha coefficient was 0.98. The data was collected between 1 November 2022 to 31 January 2023. Data analysis was performed by descriptive and inferential statistics include Pearson correlation and stepwise multiple linear regression a significant level of 0.05

The study provides an overview of Motivation affecting family doctor the performance of health volunteers Nong Wua So district Udonthani province at a high level with averages of 2.40 (S.D.= .27) and 2.47 (S.D.= .45) respectively. The overall motivation and key success factors had a statistically significant high relationship with the performance of health volunteers Nong Wua So district Udonthani province (r = .815, p-value = < .001) and found that the motivation factors : Position advancement, recognition and respect, policy and management, nature of work performed and responsibility can play a part in forecasting and affect performance family doctor the performance of health volunteers Nong Wua So district Udonthani province at 96.9 percent (R²=0.969)

Effects of implementing an integrated care model in pain management and the ability in daily activities among osteoarthritis patients in Maungpon Community Khunyuam District Maehongson Province

Pornchai Onsod — 2024-05-16

Osteoarthritis is a common disease in the elderly. causing difficulty in movement as a result, the quality of life of the elderly decreases. A lot of time and treatment costs were lost. The purpose of this quasi-experimental research was to study the effects of using an integrated care model for pain management. and ability to perform daily activities in patients with osteoarthritis in the Maungpon community So that patients with osteoarthritis can manage their pain appropriately. and able to carry out normal daily life The integrated care model includes knee massage, foot soak, and herbal knee wrap. Together with soaking in hot springs at a temperature of 38 - 42 degrees Celsius, a simple random sampling of 89 people was selected. The tool used to follow up and evaluate the results is pain assessment form Daily routine assessment form and a form recording the number of painkillers taken Content validity was checked by 3 experts. Data were analyzed using Paired Samples T-Test statistics.

Results found that integrated care can reduce pain levels. The mean pain score before receiving the combined service was 7.12 (SD=1.78), the mean pain score after receiving the combined service was 5.27 (SD=1.88), reducing the use of painkillers in one month. Significant at p < .01 by the average number of painkillers used per month. Before receiving integrated services, it was 26.16 (SD= 34.36), after receiving integrated services it was 16.86 (SD=24.93), and integrated care can increase walking ability. and increase your ability to squat more Significant at p < .01 and p < .05, respectively. Therefore, patients with osteoarthritis who have limitations in using painkillers Can provide combined care to reduce pain. and the ability to perform daily activities increases.

Quality Improvement of Discharge Planning for Patients with Hematuria, Male Surgical Ward, Phrae Hospital

Tidalux Kaewjaem — 2024-05-16

Discharge planning is an important process in preparing patients for self-care and self-management after discharge from the hospital. This developmental study aimed to improve the quality of discharge planning for patients with hematuria in the Male Surgical Ward, Phrae Hospital. The population in this study consisted of professional nurses working at the Male Surgical Ward of Phrae Hospital, including a development team with five experienced nurses and an operational team with 13 professional nurses responsible for discharge planning. The research instruments included the discharge planning guidelines for patients with hematuria, general information about professional nurses, a discharge planning checklist for practices according to the discharge planning guidelines, and the incidence record form. All research instruments were validated by three experts. The content validity index of the discharge planning checklist was 1.0. The reliability of the discharge planning practice checklist for professional nurses was 0.95 Data were analyzed by descriptive statistics.

The results showed that the score of practices according to the discharge planning guidelines for patients with hematuria after quality improvement in the admission phase and stable phase was accurate and complete at 100 % whereas the discharge phase was accurate and completed at 83.33%. There was no incidence of hospital re-admission within 28 days and the average length of stay of patients with bloody urine was decreased from 5.21 days to 4.80 days.

The Effect of the Integrative Program on Relapse Prevention Among Persons with Amphetamine Dependence

panatda teerachue — 2024-05-02

This quasi-experimental research aimed to examine the effectiveness of the integrative program on relapse prevention among persons with amphetamine dependence. Twelve participants from the outpatient department at San Sai Hospital, Chiang Mai Province were recruited and purposive selected to participate in this study according to the criteria set by the research and passing the cognitive assessment (Montreal Cognitive Assessment [MoCA]) scores equal to or greater than 25 points. The samples attended an integrative program three times a week for 3 weeks. The relapse prevention intention scale and the behavior drug prevention test (reliability at .95 and .76 respectively) were applied for data collection before and after participation, then two and four-week follow-up. Descriptive statistics, the Friedman test, and the Wilcoxon Signed Rank Test were used for data analysis.

The results revealed that the mean scores of intention to prevent relapse and drug prevention behavior at the pretest, post-test, and two- and four-weeks follow-up were significantly different at .05, but there were no significant differences between mean scores at post-test and two and four weeks follow-up.

The results suggested that this integrative program increases the intention to prevent relapse among amphetamine addicts, leading to an increase in drug prevention behaviors. Therefore, nurses and healthcare providers could apply this program to promote the intention to prevent relapse and drug-prevention behavior in persons with amphetamine and other substance abuse.

Stress, Depression and Factors related to Stress and Depression among Patients with COVID-19 in Infectious Diseases Unit, Huai Khot Hospital, Huai Khot District, Uthai Thani Province

Nudchanat Kherdsri — 2024-05-17

The cross-sectional descriptive research to study stress, depression and factors related to stress, depression in COVID-19 patients at Huai Khot Hospital, Huai Khot District, Uthai Thani Province. The sample were selected by purposive sampling, consisting of 107 COVID-19 patients confirmed through RT-PCR testing. The research instruments the factor assessment was content validity by experts, and stress assessment and depression assessment were reliability by using Cronbach’s Alpha coefficient equal to .86 and .96, respectively. The instruments consisted of four sections: 1) Personal factors, 2) Related factors 3) Stress assessment, and 4) depression assessment. Data were analyzed using frequency and percentage statistics. Correlated factors were analyzed using Chi-square statistics.

The study revealed that stress in COVID-19 patients was divided into 90.7% low level, 9.3% medium level. And the factors related to stress levels included social problems (c² =17.250) and family problems (c² = 4.79) with statistical significance (p<. 001 and p<.05 respectively). The presence of depression in COVID-19 patients was found to be 41.4%, divided into low level 38.3% and moderate level 3.2. % found that factors related to depression included both social problems (c² =28.205) and family problems (c² =18.531) that were statistically significant (p<.001). In addition, congenital diseases (c² =17.369) is also related to depression in COVID-19 patients with statistical significance (p<.05).

Effects of Health Literacy Enhancement Programs on Self-Care for Tuberculosis Patients in Intensive Phase

Chutima Saklow — 2024-05-17

This quasi-experimental research with a one group pretest-posttest design was aimed to examine the effects of a health literacy enhancement program on self-care for tuberculosis patients in the intensive phase. A purposive sampling was used to recruit thirty new tuberculosis patients aged 18 years and over who undergoing treatments at the tuberculosis clinic, Phayao hospital. Research tools included the program to promote health literacy in self-care of tuberculosis patients in the intensive phase, and the questionnaires for collecting data included 1) general information, 2) the health literacy regarding tuberculosis, 3) tuberculosis knowledge, and 4) self-care behaviors of tuberculosis patients. Data were analyzed using descriptive statistics including frequencies, percentages, and averages. The analysis of differences of before and after experiment scores for health literacy, knowledge, and self-care behavior regarding tuberculosis were analyzed using a dependent t-test.

The results showed that a majority of the sample were male (70 %). Their average age was 57.9 years (SD.=16.09), 33.3% were farmers, 60.0% were married, 60.0% completed primary education, 13.3% had a history of contact with tuberculosis patients, 20.0% smoked cigarettes, 63.3% drank alcohol, and 63.3% had congenital diseases. After the completion of the program, participants’ scores for overall health literacy, knowledge regarding tuberculosis, and self-care behaviors increased significantly. When examining each component of health literacy, scores of five out of six components increased significantly after the intervention, only health care decision making component did not significantly increased. The findings suggested that the program was appropriated for promoting health literacy, knowledge, and self-care behaviors for TB patients. Further research should be done to explore effective interventions for improving health care decision making.

Health Literacy, Health Behavior and Health status at risk of chronic non-communicable diseases, Hang Chat District, Lampang Province

Wasan Jansak — 2024-05-17

This descriptive study aims to 1) investigate health status, health behaviors, and health literacy. 2) Examine the correlation that exists between health literacy and health-related behavior. We obtained quantitative data from 2,660 individuals aged 15 to 59 who were working. The research instruments include inquiries about health behavior and health literacy, as well as health record forms. We employed descriptive statistics such as the mean, standard deviation, and percentage to analyze the data. Utilize Pearson's Product Moment Correlation statistics to determine the relationship.

According to the study's findings, health literacy was satisfactory in terms of the ability to obtain information about preventive measures and appropriate behavior (mean = 3.28, S.D. = 0.305). Overall, health behavior is good (mean = 3.84, SD = 0.650). Health literacy, encompassing information access, comprehension, response, decision-making, and behavior modification, statistically significantly correlates with positive health behaviors. Concerning general health, blood pressure and glucose levels are predominantly within the expected range. They contribute 61.54 percent and 80 percent, respectively. The entire working-age population shows awareness of healthy behaviors and willingness to change behavior to reduce chronic non-communicable disease risk.

Service quality of Outpatient and Inpatient departments, Community Hospital

Piyaned Charapeeya — 2024-05-23

The purpose of this descriptive study was to investigate how inpatient and outpatient department clients perceived the quality of the services they received. We utilized purposive random sampling to obtain a sample of 210 inpatient and 204 outpatient patients. The instruments included assessments that evaluated both the perception and expectation of hospital service quality. The questionnaires exhibited reliability, as indicated by Cronbach's alpha coefficients of 0.93 and 0.94, respectively. Employing descriptive statistics, the researchers examined the data.

The results indicated that 1) outpatient clients rated the aspects of tangible reliability, responsiveness, assurance, and empathy of service quality as worse than what they expected 2) The inpatient clients expressed a higher perception of tangible service quality in comparison to their expectations. Conversely, they held lower expectations regarding the reliability, responsiveness, assurance, and empathy of service quality. The results provide hospital and nursing administrators with crucial foundational information for developing and planning service quality that meets clients' expectations.

Effects of a program of using Popular Northern Food together with Buddhist principles health promotion on blood pressure control in older persons with Hypertension, Phrae province

adul wuttijurepan — 2024-05-30

Abstract

A significant concern among the elderly is hypertension. In the upper northern region, health behavior modification through the consumption of locally sourced, nutritious foods and holistic health promotion grounded in Buddhist principles are viable approaches to management. The aim of this pre-posttest quasi-experimental study, which included a comparison group, was to determine the impact of incorporating Buddhist principles into health promotion programs and offering a popular Northern dish on blood pressure management among the older persons. The sample included 44 elderly hypertensives, 22 in each experimental and control group, obtained by simple random sampling. The research tools comprised the following: 1) The health promotion program included educational lectures, subject opinion gathering, health skills training in eating, exercise, stress management, telephone monitoring, and home visits. 2) the health behaviors questionnaire, and 3) a blood pressure level recording form. The program and research questionnaires obtained validation from three specialists. Using descriptive statistics and an independent t-test, we analyzed the data.

The findings indicated that older persons with hypertension exhibited notably improved scores on eating, exercise, and stress management behaviors subsequent to their program participation (p <0.05). Significant reductions in mean systolic and diastolic blood pressure were seen compared to pre-program levels (p < 0.05). Furthermore, comparing diet, exercise, and stress management behaviors, the intervention group scored substantially higher than the control group (p <0.05). According to research, the Popular Northern Food health promotion program, when combined with Buddhist principles, was suitable for promoting healthy eating, exercise, and stress management practices. It also led to blood pressure monitoring among hypertensive older people in northern Thailand.

The Effectiveness of Using Modified Early Warning Signs (MEWS) in Postpartum Mother Assessment, Koh Kha Hospital, Lampang Province

Ratda Udomthada — 2024-06-08

The quasi-experimental research of Two-group Interrupted Time Design aims to investigate: 1) the results of using the modified early warning signs (MEWS) approach to postpartum maternal assessment. and 2) the satisfaction of registered nurses with the use of the modified early warning signs (MEWS). The sample was purposively sampling, consisting of 1) immediately postpartum mothers within the first 24 hours after delivery while in the delivery room at Koh Kha Hospital, Lampang Province, divided into a control group receiving standard nursing care from November to December 2023 (n=55), and an experimental group using the modified early warning signs (MEWS) from January to February 2024 (n=55); 2) 7 registered delivery room nurses. Research tools included the modified early warning signs (MEWS) in postpartum mother assessment, assessment of nurses' skills and satisfaction, and evaluation of question relevance to objectives (IOC) by 3 obstetric experts, yielding a reliability coefficient of 0.67-1.00. The modified early warning signs (MEWS) in postpartum mother assessment (MEWS) recording form showed inter-rater reliability of 0.92 using Cohen's kappa. Statistical analysis included descriptive statistics, Chi-square test and Fisher’s exact

The study found that the experimental group did not have an incidence of postpartum hemorrhage, whereas the control group had an incidence of postpartum hemorrhage of 5.45%. Registered nurses had accurate skills in recording assessment results at 100% and provided nursing care according to warning sign levels at 82.72%. Overall, nurses' satisfaction was high level. (mean = 4.40, S.D = 0.59). The research findings, the researchers plan to implement the modified early warning signs (MEWS) assessment in the postpartum special care unit at Koh Kha Hospital to significantly enhance the quality and safety of postpartum maternal care.

The results of the program to develop nursing characteristics regarding the humanized care: A case study of a private university

ศันสนีย์ รัตนวราหะ — 2024-06-20

We conducted this study using a quasi-experimental design with a single group. The objective was to analyze the development of human-centered nursing characteristics among nursing students and to compare the average attitudes and awareness of nursing students towards humanized care before, after, and during the follow-up phase of the training. The sample group consisted of third-year students from a private university's Faculty of Nursing. Using random sampling, we specifically chose 49 nursing students. The process of data collection lasted for five months. Through a three-day training session, the program aimed to cultivate nursing attributes associated with humanized care. The data collection instrument consists of three components: a questionnaire on nursing students' attitudes toward humanized care; a questionnaire on self-awareness of these characteristics; and personal information. Using frequencies, percentages, averages, and standard deviations, we examined the overall data. We used a one-way repeated measures ANOVA as the reference statistic.

The research results revealed that nursing students demonstrated a more positive attitude towards nursing and humanized care during the after- and follow-up periods compared to their pre-training periods. Prior to the follow-up period, nursing students' average awareness of humanized care was lower than it was after the training. There was no statistically significant difference in nursing students' awareness of their human-centered nursing characteristics, including their skill, confidence, and awareness, over all three phases at a significance level of greater than 0.05. At a level less than 0.05, compassion and determination showed a significant difference. Teachers and learners can use this result as a guide to improve nursing students' humanized care characteristics.

Factors Predicting Health Status and Self-Health Assessment among Older Adults

Phatchanun Vivarakanon — 2024-06-25

This predictive correlational research aimed to 1) examine health status and the ability to assess self-health status in older adults. A total of 420 participants included people aged 60 or over who live in Lampang Province based on inclusion and exclusion criteria using multi-stage sampling. Settings included the Ban Ton-Tong and Ban Mae-Kong sub-districts. Instruments included Barthel Activity of Daily Living, Stress assessment (ST-5), and Self-assessed health with index of item objective congruence = 0.92 and Interrater reliability = 86. The data analysis involved descriptive statistics and multiple regression analyses.

The findings indicated that the majority of older adults aged 60-69 years old required minimal assistance with daily living activities (mean =35.50, S.D. = 0.23) and experience occasional stress (mean=69.12, S.D. = 0.45). Predictive factor analysis revealed that health status factors, specifically the ability to perform daily living activities and stress level, significantly predict the self-assessed health status of the older adults (β = -.116, β = -260, p< .05, respectively). This study can inform the management of conditions affecting health, enabling older individuals to self-assess their health based on basis daily activities and stress reduction as well as to improve the standards of care and quality of life for the older adults.

Development of a Clinical Practice Guideline for Preventing Delirium in the Elderly with Hip Fractures at Lampang Hospital

Jarouyporn thagleawpun — 2024-06-25

This research and development study aimed to develop and pilot a clinical practice guideline for preventing delirium in the elderly with hip fractures at Lampang Hospital using Soukup's evidence-based nursing model (2000), including four stages: 1) identifying the problem, 2) reviewing and searching for evidence, 3) piloting the guidelines, and 4) implementing the refined guidelines in the institution. This study progressed through the third stage. The gathered evidence was assessed for quality, reliability, and feasibility, and then synthesized to create clinical practice guidelines for preventing delirium in elderly patients with hip fractures. The content validity of the tool was evaluated by three experts, and the quality of the guideline was appraised using the Appraisal of Guidelines for Research & Evaluation II (AGREE II) by another three experts with passing the overall evaluation criteria for 86.65 percent Additionally, 20 nurses assessed the feasibility and satisfaction with the guideline using questionnaires, and the data were analyzed using descriptive statistics.

The research findings are as follows: 1) clinical practice guidelines and a manual were developed from 23 pieces of evidence, comprising three key sections. 2) The professional nurses who used the clinical practice guideline rated their feasibility at the highest level (mean = 4.65, S.D. = 0.47). 3) Overall satisfaction with the clinical practice guidelines was high (mean = 4.48, S.D. = 0.51). In conclusion, the developed guidelines are of high quality, feasible for implementation, and well-received by professional nurses.