Development of nursing implementation and evaluation documentation at Nong Wau Saw Hospital, Udon Thani, Thailand

3^rd Euro Nursing & Medicare Summit

July 27-29, 2015 Valencia, Spain

Mullika Lunnajak1 and Marisa Krairiksh2

1Nong Wau Saw Hospital, Thailand 2Khon Kaen University, Thailand

Posters-Accepted Abstracts: J Nurs Care

Abstract :

This participatory action research aimed to develop nursing implementation and evaluation documentation at Nong Wau Saw Hospital, Udonthani. The research was conducted in four distinctive processes: Analysing the problem of the actual situations, planing to define the solutions, implementing the tasks, and evaluating. The development process started from March, 2013 to June, 2013. The development team consisted of the researcher and the 20 hospital personnels which were three medical doctors, four pharmacists, 10 professional nurses, two physical therapists, and one nutritist. The research tool was a questionnaire of satisfaction evaluation which was approved by five experts and reliability tested by applying Cronbach�s Alpha coefficient resulted 0.80. Moreover, the documentation quality was evaluated in 4C: Correct, complete, clear, and concise with an evaluation form. The quantitative data were analyzed with frequency, percentage, mean, and standard deviation. The qualitative data were analyzed by content analysis. In the development process, the multi-health professional team agreed to develop nursing implementation and evaluation documentation. The documentation form consists of different seven elements which were date and time, vital signs, laboratory investigation results, problems and supported data, nursing activities, nursing evaluation, and signature. It was also recoreded with focus charting style which reflected necessary information of patients. Consequently, the team had recognized its effectiveness of the written information as it could be used continueously to accompany the implementation. According to the documents, it had shown the result of the implementation from low level to high level. Moreover, overall satisfaction of the implementation had been upgraded to be extremely satisfied.

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