The Development of Service Model for One Day Surgery (ODS) At Phonthong Hospital, Roi Et Province

Abstract

Purposes: To study the situation, develop a model and study the effectiveness of service model for patients undergoing one day surgery at Phonthong Hospital Roi-Et Province.

Study design: Research and Development.

Materials and Methods: The sample group consisted of 70 patients who passed the one day surgery screening criteria. Proceeds in 3 steps were taken. Step 1: Study the situation of care, problem and necessity in developing the service model. Step 2: Develop a service model. Step 3: Study the effectiveness of the developed service model. Data were collected using questionnaires and analyzed using descriptive statistics percentage differences and independent t-test statistics.

Main findings:   The situation of caring for patients undergoing one day surgery at Phonthong Hospital had unclear and unified practices. Patients were confused and worried about taking care of themselves both before and after surgery. Surgery was cancelled or postponed 14.3% and complications occurred 37.1%. Service model for patients undergoing one day surgery (TISC Model) consists of T: Team works I: (Information) Providing information efficiently S: (Self-efficacy) Enhancing patient self-efficacy and C: (Caregiver) Participation of caregivers. After applying the developed model, it was found that patients in the experimental group were less anxious than the group that received the traditional services model, had a lower rate of surgery cancellation or postponement (80%), had a lower rate of postoperative complication (85%) and had a lower rate of surgery wound infections (100%). There was no difference in readmission within 1 week and patients were more satisfied with the service model than the group that received traditional services model.

Conclusion and recommendations: The developed one day surgery service model emphasizes the participation of patients and caregivers. By promoting awareness of competency in management and self-care, it can increase effectiveness in canceling or postponing surgery, occurrence of complications after surgery, Inflammation and repeat treatment within 1 week, as well as reducing anxiety and increasing patient satisfaction. Therefore, the developed guidelines can be used as a guideline for further development of nursing service models in other fields.