The development of risk management total abdominal hysterectomy perioperative nursing at Sunpasitthiprasong Hospital Ubonratchathani province

Abstract

The purpose of this participatory action research was to develop a risk management strategy for a total abdominal hysterectomy perioperative nursing care plan. The research was conducted at the Sunpasithiprasong Hospital, located in Ubon Ratchathani, Thailand. The study sample size included 22 participants. The research was conducted from October 2017 to July 2018. The researchr methodology employed system theory and focus group discussions to develop the issues to be studied. The study results situation analysis and factors related to the development of a risk management strategy for the aforementioned nursing care plan. The risk management team consisted of obstetric and gynecological perioperative nurses. The model included communication between the operating room team. Clinical instruction regarding the total abdominal hysterectomy perioperative nursing care plan was evaluated and analyzed, and the trend of the risk re-checked. Factors related to the risk management strategy being implemented included; knowledge, awareness and general attitude of the nurses. Additional factors were the willingness to follow the work instruction, communication among operating room team and the role of risk management team. Finally, the patient safety clinical pathway for total abdominal hysterectomy nursing patients was analyzed in this study. The research resulted in a high level of satisfaction by the nurses and operating room team being reported. The patients included in the study, were safe and had a low risk of suffering from post-operative complications of the total abdominal hysterectomy procedure.