The Results of Developing Nursing Practice Guidelines for Postoperative Patients Who Have Received General Anesthesia in the Post-Anesthesia Care Unit (PACU); Nopparat Rajathanee Hospital
Keywords:
Nursing practice guidelines for postoperative patients, Undergoing general anesthesia, Postoperative complicationsAbstract
Background: Complication for post-operative patients receiving general anesthesia in recovery room can be life-threatening. Proper patient care can prevent complication. Objective: To examine the results of developing nursing practice guidelines for postoperative patients who have received general anesthesia in the recovery room at Nopparat Rajathanee Hospital. Method: Action research followed the Clinical Practice Guidelines development principles by the National Health and Medical Research Council, Australia (1999). The research instrument was the guidelines for postoperative patients who have received general anesthesia in the recovery room. Data were collected using a postoperative care outcome scale and a satisfaction scale, both validated by five experts, with each instrument achieving a content validity index (CVI) and an Index of item-objective congruence (IOC) of 1. The sample included 21 nurse anesthetists and 54 patients, divided into two groups of 27 using G*Power based on prior effect sizes and inclusion criteria. The control group was selected from retrospective medical records dated February to April 2023, while the experimental group embraced patients who underwent Post-Anesthesia Care Unit (PACU) services during the same months in 2024. Data were analyzed using content analysis descriptive statistics, the paired-sample t-test and the chi-square test. Results: The patient care guidelines encompassed assessment, monitoring, discharge, and documentation. After development, anesthesia nurses showed greater adherence to the new guidelines, correlating with a significant reduction in patient complications (p < .05), Also, anesthesia nurses exhibited enhanced knowledge (p < .05), and guideline satisfaction was high, with service recipients reporting the highest levels of satisfaction. Conclusion: The developed practice guidelines, used by anesthetists, helped reduce the risk of postoperative complications and ensure the safety of patients in the PACU at Nopparatrajathanee Hospital.
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