Development of a Model for Enhancing Nursing Competency in Caring for Patients Undergoing Open Heart Surgery
Keywords:
Model for promoting nursing competency, Cardiac operating nurse, Open heart surgery patientsAbstract
This research and development aimed to develop and examine the model for promoting nursing competency in caring for open heart surgery patients on knowledge, nursing skills, and satisfaction. Four nurses were assigned to the cardiothoracic operating room were coached and two nurses in the cardiothoracic operating room were coached. Research instruments consisted of: 1) a competency enhancement model for operating room nurses in caring for patients undergoing open-heart surgery, 2) a knowledge assessment form, 3) a skill assessment form, and 4) a satisfaction assessment form. The instruments were tested for quality, yielding a content validity index (CVI) of .93, a Kuder-Richardson 20 (KR-20) reliability coefficient of .83 and .87, respectively, and a Cronbach’s alpha coefficient of .92 and .98, respectively. Data were analyzed using descriptive statistics.
The results showed that after participating in the developed model, the participants had an average knowledge score and the nursing skills scores higher than before participating. For the satisfaction, the participants had the high to highest levels. These findings demonstrated that this developed model effectively enhanced nursing knowledge and practical skills, thereby significantly improving the quality of periperative care for patients undergoing open heart surgery.
References
Piwpong R, Plienthaisong B, Plongram T, Ngaosri W, Narasri T. Factors influencing major adverse cardiac events among people with acute coronary syndrome admitted to a tertiary hospital in northeastern Thailand: a cross-sectional study. Belitung Nursing Journal 2025;11(2):232-9. doi: 10.33546/bnj.3672.
Department of Disease Control, Ministry of Public Health. Number and mortality rate, noncommunicable diseases year 2018-2022 [Internet]. 2024 [cited 2024 Dec 1]. Available from: https://www.ddc.moph.go.th/dncd/news.php?news=39911 (in Thai)
Srimuang J, Sathiyamas J, Homvises B. The effects of an enhancing self-efficacy program and mobile application in rehabilitation on physical fitness and anxiety among coronary artery bypass graft surgery patients. Kuakarun Journal of Nursing 2024;31(2):296-309. (in Thai)
Kunnahong Y, Ua-Kit N. The effect of preparatory information program on anxiety in patients undergoing open heart surgery. Kuakarun Journal of Nursing 2021;28(1):20-32. (in Thai)
Yumul MB. Preoperative clinical practice guidelines for patients undergoing coronary artery bypass graft surgery [Dissertation]. Minnesota: Walden University; 2025.
Fan Y, Lin X. Application of perioperative comprehensive care in coronary heart disease patients undergoing coronary stent implantation: a study on the collaboration of cardiology operating room nursing. Journal of Multidisciplinary Healthcare 2025;18:3423-31. doi: 10.2147/JMDH.S527597.
Whitmore J. Coaching for performance: the principles and practice of coaching and leadership. 5th ed. London: Nicholas Brealey; 2017.
Sarroeira C, Cunha F, Simões J. Coaching and nursing: a qualitative analysis of literature. Revista da UIIPS - Unidade de Investigação do Instituto Politécnico de Santarém 2020;8(1):42-56. doi: 10.25746/ruiips.v8.i1.19877.
Costeira C, Dixe MA, Querido A, Vitorino J, Laranjeira C. Coaching as a model for facilitating the performance, learning, and development of palliative care nurses. SAGE Open Nursing 2022;8:23779608221113864. doi: 10.1177/23779608221113864.
Pongpattana P, Suwonmontri P, Jansook N. The development of competency perioperative nurses in craniotomy patients in Sawanpracharak hospital. Journal of MCU Nakhondhat 2023;10(2):371-85. (in Thai)
Soukup SM. The center for advanced nursing practice evidence-based practice model: promoting the scholarship of practice. Nursing Clinics of North America 2000;35(2):301-9. (in Thai)
Sripipatanakul T, Sroisong S, Jaisamuk S. Development of an action learning program for perioperative nurses in nursing care for patients undergoing mitral valve surgery. Buddhachinaraj Medical Journal 2019;36(3):282-95. (in Thai)
Ashton PH, Chanchaidechachai N, Loluphiman P, Hongthong S. The results of the development of a coached learning program to promote nursing ability operating room for nursing patients undergoing coronary artery bypass grafting surgery, Nakhonpathom hospital. Journal of Nursing Division 2022;49(3):44-57. (in Thai)
Suprasuwankul W, Udkunta K, Sakboon B. Use of experiential learning theory to develop a skill training program for operating room nurses in off-pump coronary artery bypass surgery. Lampang Medical Journal 2022;43(1):33-7. (in Thai)
Nongkunsan N, Kittiwararit W. Effective of development competency for perioperative nurse in endoscopic retrograde cholangio pancreatography : ERCP at Sakonnakon hospital. Research and Development Health System Journal 2023;16(1):125-37. (in Thai)
Champapee P, Isarankura Na Ayudhya V, Sriruecha C. The effectiveness of a competency rehabilitation program for nurses in the operating room for safety and prevention of complications from surgery at Maha Sarakham hospital. Mahasarakham Hospital Journal 2023;20(1):97-110. (in Thai)
Saktrakoon R, Karapakdee C, Tungtang W, Sonmuang A, Kantaket N. Development of learning program for supporting the operative nurses’ competencies in nursing care of patients with endometrial cancer, Sawanpracharak hospital. Region 3 Medical and Public Health Journal 2025;22(1):26-36. (in Thai)
Benner P. From novice to expert. American Journal of Nursing 1982;82(3):402-7.
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