Development of clinical nursing practice guideline by using patient center model among tuberculosis patient at Phonthong hospital

Abstract

Purposes : To study the situation, context, the development model and evaluate the results of clinical nursing practice guideline by using patient center model among tuberculosis patient at Phonthong hospital, Roi Et Province.

Study design : Action Research.

Materials and Methods : This research is the development of clinical nursing practice guideline by using patient center model among tuberculosis patient. This action research (Action research) to study the model of clinical nursing practice guideline by using patient center model among tuberculosis to appropriate. This study was conducted using an action research model to development of clinical nursing practice guideline by using patient center model among tuberculosis patient approach based on the PAOR and using a participatory process among staff. The target group was selected as tuberculosis patients, Phon Thong Hospital, Roi Et Province of 30 people, and the target group used in process development of 17 people and the target group used collecting data were staff and tuberculosis patients, total of 47 participants were analyzed using descriptive statistics and presented as Frequency, Percentage, Mean and Standard Deviation. In the case where the data were not normally distributed, it is presented with the median (Median), the 25^th and 75^th percentiles. Data analysis by content analysis and comparing the mean differences of before and after the experiment to used the model was tested using paired t-test statistics of setting the significance level at .05.

Main findings : Developing the model of clinical nursing practice guideline by using patient center model among tuberculosis patient of 2 times to consisting of 6 steps: 1) Explore & Understand 2) Person-Centered Care 3) Shared Decision Making 4) Prevention & Health Promotion 5) Building Trust & Rapport 6) Realistic Expectations by using the model to test with a sample group. It was found that staff and patients after the experiment had different mean scores on knowledge and understanding, participation and satisfaction of tuberculosis patients to higher than before the experiment with a statistical significance of .05. It was found that after the experiment by using model, for the staffs was found that the difference in average scores for knowledge and understanding increased by 2.76 points more than before the experiment (95%CI= 1.98-3.54), The mean difference in participation scores increased by 10.65 points (95%CI= 9.05-12.24). And for tuberculosis patients was found that the mean difference of satisfaction scores of tuberculosis patients increased 11.00 points (95%CI= 9.75-12.24) respectively.

Conclusion and recommendations : Results from this research resulted in tuberculosis patients receiving continuous care and follow-up.