The development of patients preparation pattern in elective surgery. The department of surgery, nursing department, Nongkhai hospital

Abstract

Objective : To study the cancellation and postponement of elective surgery.To develop patient preparation pattern and study results after using pattern. Material and methods : This study was participatory action research, divided into 3 phases. Phase 1 was preparation. Phase 2 was the development of patient preparation pattern, including 4 processes; planning, action, observation and reflecting. Phase 3 was evaluation of patient preparation pattern. The participants were 28 nurses and 795 patients who were undergone elective surgery between July 2015 to January 2016. The research instruments were patient preparation pattern, which were developed by the researcher, the data of cancellation and postponement in elective surgery from the hospital’s risk management program and the questionnaires of opinion and satisfaction from the nurses.All data was analyzed by descriptive statistics, frequency and percentiles. Result : The cancellation and postponement of elective surgery were 47% (62 from 130 patients), caused from patient factors 33.87%, doctor factors 33.8% and other fators 16.13%, example date and time of operation or surgeon name were incorrect. This study leaded to patient preparation pattern development, including flowchart and checklist. After using patient preparation pattern, the incidence of cancellation and postponement were decreased from 16.06% to 44.78%. Practically applicability was 88.49% and satisfaction rate was 85%