Nursing System Development in Patients Undergoing Operation in 3C Surgical Ward
Darawan Augsornwan MPH1, Artitaya Sabangbal BNS1, Maneewan Srijan BNS1, Kanokarn Kongpitee MNS1, Lalida Petphai BNS1, Palakorn Surakunprapha MD2
Affiliation : 1 Division of Nursing, Department of Surgical and Orthopedic, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand 2 Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Objective : The purpose of the present study was to develop nursing system for inpatients of Surgical Department Ward.
Materials and Methods : The sample population was 11 nurses and 200 patients. The present study was divided into 3
phases: Phase 1. Situation review about the clinical outcomes, process of care from documents such as nurses note and
interviewing the nurses, patients and families about process of care. Phase 2: focus group with 11 nurses, searching guideline
for specific cares, nursing care system then establish protocol. Phase 3 implementation and evaluation.
Results : patients/family receive appropriate information about breathing exercise, cough, early ambulation after operation
and information during stay in hospital. Patients and families satisfaction were 95.04 percent. Nurses satisfaction were 95
percent, no complications.
Conclusion : The nursing system is the dynamic process and using evidence base to develop nursing care. The appropriate
system depends on context and needs of personnel to keep continuous progression and development.
Keywords : Development, Nursing system, Inpatient Surgical Department Ward
