การพัฒนาคุณภาพการให้ข้อมูลก่อนผ่าตัดสำหรับผู้ป่วยศัลยกรรมทั่วไป โรงพยาบาลค่ายสุรศักดิ์มนตรี จังหวัดลำปาง

Abstract

Information provision for preoperative patients is an effective approach to reduce post-operative complications and results in shorter hospital stays. This developmental study aimed to improve the process of preoperative information provision for general surgical patients at Fort Surasakmontri Hospital in Lampang province. Study methodology was guided by the FOCUS-PDCA quality improvement process (Deming, 1993). The population consisted of 14 professional nurses. The research instruments included: 1) interview guidelines, 2) Nurse Team Transfer Data Preoperative Information Provision Form, 3) Information Provision Practice Check List, and 4) Preparation and Surgery Cancellation Incident Report Form. Data were analyzed by descriptive statistics. A preoperative information provision guidelines were developed through collaboration with registered nurses at the hospital as part of this study. The guidelines contained essential information for preoperative patients, the information provision roles of nurses in the Out Patient Department, Private Ward and Operating Room, and guideline for using the Form of Nurse Team Transfer Data Preoperative Information Provision Form. After implementation of the guideline, almost all registered nurses performed preoperative information provision in compliance with the guideline. All patients received the essential preoperative information. Incidence of patient unreadiness for operation was not found and no surgeries were canceled. The results of the study show that the developed guideline for preoperative information provision effectively prepares surgical patients for surgery and maintains the quality of the standard care for preoperative patients. Organizational administrators can apply this FOCUS-PDCA quality improvement process to improve quality of services in their hospitals.