การพัฒนาคุณภาพการเยี่ยมตรวจทางการพยาบาลในหอผู้ป่วยพิเศษอุบัติเหตุ โรงพยาบาลเชียงรายประชานุเคราะห์

Abstract

Nursing rounds are an opportunity for the nursing team to identify and fulfill patient needs. The purpose of this developmental study was to improve the quality of nursing rounds in Private Trauma Ward at Chiangrai Prachanukroh Hospital. Study methodology was guided by the concept of nursing management rounds by Close and Castledine (2005) and the PDCA (Plan, Do, Check, Act) improvement process. The study population included 12 registered nurses and the participants were 57 hospitalized patients. The research instruments included the guidelines of nursing rounds, the nursing round form, the assessment form for practices compliance with the guidelines of nursing round, and the record form for length of hospital stay. Data were analyzed using descriptive statistics. The results of this study revealed that the model of a nursing management round was able to improve nursing round practices and patient outcomes. After nurses were trained for practice compliance with the guidelines of the nursing management round, 91% of registered nurses could completely perform practices according to the guidelines. In addition, the patients recovered and were discharged faster. The percent of patients who had lengths of hospital stay longer than diagnosis related groups decreased from 32% to 21%. The average length of the patients’ hospital stays from admission to discharge decreased from 7.11 to 5.35 days. The results of this study showed that the model of a nursing management round was effective in improving nurse and patient interactions and promoting the quality of nursing care in the private ward. Application and testing of this nursing management round in another setting is needed.