The Development of Patient Referral Management System for Professional Nurses at Emergency Department in a Tertiary Level Hospital under the Medical Service Department in Bangkok Metropolitan Administration*

Abstract

Objective: The purposes of this research were to develop the patient referral management system for professional nurses at emergency department in a Tertiary Level Hospital under the Medical Service Department in Bangkok Metropolitan Administration and to compare nurse satisfaction on patient referral management system. between before and after system implementation. 

Material and Methods: The quasi experimental research study. The sample of 21 nurses who worked at emergency department and had the experience in patient referral at least 2 years, was purposively selected. Research instruments included 1) the patient referral management system which was validated by five experts. Its content validity index was 0.921  2) a nurse satisfaction questionnaire on patient referral management system. Its reliability coefficient was 0.970. The data analysis was done for frequency, percentage, mean, standard deviation and paired t-test.

Results: The findings were as follows. Nurse satisfaction on patient referral management system before using the patient referral management system was at the moderate level ( = 2.959, SD = 0.548). After using patient referral management system, the satisfaction was at the high level ( = 4.022, SD = 0.481). which was higher than before using the patient referral management system at p <.01. (t = -7.694)

Conclusion: Researcher has suggested that nurse administrator should encourage using this patient referral management system in a hospital continuously, and further study research should be related to high risk diseased patient referral management system.

Key word: Management system, Patient referral management, Satisfaction, Emergency department