Effects of Home Visit Guidelines for Postpartum Mothers with Substance Use and Their Infants on Nursing Service Efficiency and Satisfaction of Registered Nurses in Primary Care Units
Keywords:
postpartum home visit, mother and infant, substance use , nursing service efficiency, satisfactionAbstract
The number of postpartum mothers with substance use has continued to increase annually. However, a specific and standardized care guideline remains lacking, resulting in discontinuity of care when patients are discharged from hospitals back into the community. This research was a quasi-experimental, one-group pretest–posttest design. The objectives were to compare the mean scores of nursing service efficiency in primary care units before and after the implementation of home visit guidelines for postpartum mothers with substance use and their infants, and to assess the satisfaction of registered nurses in primary care units regarding the use of these guidelines. The sample consisted of 20 professional nurses working in primary care units who were responsible for postpartum mothers and infants in the community. The research instruments included: 1) Intervention tools, comprising 1.1) Home visit guideline for postpartum mothers with substance use and their infants, consisting of a mother and an infant section; 1.2) Postpartum home visit feedback form. 2) Data collection instruments, consisting of 2.1) a demographic questionnaire for professional nurses; 2.2) a nursing service effectiveness assessment tool; and 2.3) a nurse satisfaction questionnaire regarding the guideline. Data were collected over a six-month period (January 1 to July 1, 2025) across 12 subdistricts in Mueang Satun District, Thailand. Data analysis was conducted using descriptive statistics and t-tests to compare pre- and post-intervention mean scores.
The findings revealed that the mean score of nursing service effeciency in primary care settings after implementation of the home visit guideline for postpartum visits to substance use mothers and infants was significantly higher than before implementation (p < .05). Furthermore, professional nurses reported a high level of satisfaction with the use of the guideline.
References
Office of the Narcotics Control Board. Results of drug prevention and suppression operations. Bangkok: Office of the Narcotics Control Board, Ministry of Justice; 2022.
Satun Hospital. PCT obstetrics meeting minutes report 2023 [unpublished]. Satun: Satun Hospital; 2023.
Adisak W. Maternal and fetal outcomes in pregnant women who used methamphetamine during pregnancy. J Mahasarakham Hosp. 2021;18(2):105–112.
Sucharitpong S. The impact of substance abuse during pregnancy [Internet]. Bangkok: Faculty of Medicine Siriraj Hospital; 2017 Aug 21 [cited 2024 Oct 26]. Available from: https://www.si.mahidol.ac.th/sirirajdoctor/article_detail.aspx?ID=796 (in Thai)
Thiphosa C. Effects of maternal methamphetamine use during pregnancy on newborn infants at Seka Hospital, Bueng Kan Province [research report]. Sakon Nakhon: Sakon Nakhon Provincial Public Health Office; 2022 [cited 2024 Sep 6]. Available from: https://skko.moph.go.th/dward/document_file/oa/research_file_name/20230717133205_976338236.pdf (in Thai)
Regional Health Office 12. Guidelines for the care of pregnant women and infants born to women who use drugs and narcotics in Health Region 12. Songkhla: Regional Health Office 12; 2023
Chumpotchantameekorn A. Ramamental [Internet]. Bangkok: Mahidol University; 2024 [cited 2024 Mar 21]. Available from: https://www.rama.mahidol.ac.th/ramamental/generalknowledge/06212014-1613 (in Thai)
Suksawang S. Innovation development using design thinking [Internet]. 2024 [cited 2024 Aug 16]. Available from: https://www.sasimasuk.com/16875793/บทความ-design-thinking
(in Thai)
Chuchet S. A study of the student affairs administration situation at Suan Dusit Rajabhat University [master’s thesis]. Bangkok: Sripatum University; 2013 (in Thai).
Panurat P, Srisatidnarakul B. Key contributors to nurse job satisfaction in private hospitals. Songklanagarind J Nurs. 2013;33(1):29–42 (in Thai).
Lwandee P, Amrumpai Y. Job motivation and job satisfaction among nurses at Banphaeo Hospital Public Organization. Kuakarun J Nurs. 2015;22(1):48–59 (in Thai).
Slavitt DB, Stamps PL, Piedmont EB, Haase AM. Nurses’ satisfaction with their work situation. Nurs Res. 1978;27(2):114–120.
Phatthanaputong S. Satisfaction of users of the Central Library, Khon Kaen University [master’s thesis]. Khon Kaen: Khon Kaen University; 2003 (in Thai).
Polit DF, Hungler BP. Nursing research: principles and methods. 6th ed. Philadelphia (PA): Lippincott; 1995.
Tabachnick BG, Fidell LS. Using multivariate statistics. 5th ed. New York (NY): Allyn and Bacon; 2007.
Nantawan M, Gunyadar P, Panta A. Effects of a participative management model on nursing service effectiveness and professional nurses’ satisfaction in one-day surgery patients. J Health Health Manag. 2023;9(1):73–85 (in Thai).
Charinee B, Samattanate T, Tunyarat J. Development of nursing practice guidelines for preventing the spread of drug-resistant infections prior to hospital discharge [Internet]. Chiang Mai: Nakornping Hospital; 2023 [cited 2024 May 20]. Available from: https://www.chiangmaihealth.go.th/document/231130170131384984.pdf (in Thai)
Hackman JR, Oldham GR. Motivation through the design of work: test of a theory. Organ Behav Hum Perform. 1976;16(2):250–279.
Nittaya K, Ratana L. Job satisfaction of nurses at Songklanagarind Hospital. Princess Naradhiwas Univ J. 2020;12(2):51–66 (in Thai).
Takampanya C. Job satisfaction of nursing personnel at Mae Ramat Hospital, Tak Province. Phutthachinarat Med J. 2009;4(1) (in Thai).
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