The Effect of the Use of Clinical Coaching on the Implementation of NANDA-I, NOC and NIC Classification Toward the Quality of Nursing

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รัชฎาพร สุวรรณรัตน์
พวงรัตน์ บุญญานุรักษ์
ณัฐนิชา เหลืองอ่อน
สุชาดา สมบูรณ์

Abstract

This quasi-experimental research aimed to study the level and to compare means of overall of nursing note quality scores and quality scores in each step of nursing process before and after the clinical coaching in the use of classification system of nursing diagnosis, outcome and intervention. The 300  nursing notes had been written by all 53 professional nurses who have been working at a small private hospital in ChonBuri province and received clinical coaching in nursing process from the expert in nursing process implementation. Clinical coaching has been done only during day shift in order to review and giving quality feedback. The reviewing form for nurse’s note quality developed by researchers based on concept of the classification of nursing diagnosis, outcome and intervention which Alpha Cronbach was .89  and in each step of nursing process after experimentation on nursing note’s quality was significantly higher than before at .05 The research results revealed that mean scores of post study in both total and each step of nursing process were significantly higher than before study. However, mean scores before and after coaching in total and each step of nursing process were mostly at very low level and low level of nursing note quality. So the results supported that this clinical coaching and clinical nursing supervision needed to be continued and strengthened by head nurses and team leaders along with other clinical nursing supervision activities in order to upgraded nursing note quality and results revealed that nursing note should be improved to indicate the use of completed nursing process along with the implementation of professional nursing lanquaqes that being internationally accepted.

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บทความวิจัย

References

Reference
Chai Wichit Chianchana (2017). Statistics for research: concepts and applications, Bangkok:
Chulalongkorn University Publishing House.
Chitty, Kittrell & Black, Perry (2011). Professional Nursing : Concepts and Chellemges.
Missouri:Saunders, p.94. pp.100-108.
Fischetti, N.(2008). Using stanradized nursing language: a case study exemplar in
management of diabetes mellitus. International Journal of Nursing Terminologies & Classification. 19(4) 103-166.
Freshwater, Dawn, Beverly, J.Taylor, & Sherwood, Gwen.(2008). International Textbook of
Reflective Practice in Nursing. Oxford, UK: Blackwell Publishing, pp. 1-15.
Griffith, Richard & Tengnath, Cassarn.(2009). Law and Professional Issues in Nursing. Cornwall-
Great Britian : Learning Matters Ltd., pp. 32-37.
Herdman, T.H. & Kamitsuru, S. (Eds.).(2018). NANDA International nursing diagnoses :
Definition and Classification, 2018-2020 (11th ed.) New York, NY: Thieme.
Jonhson, Marion; Moorhood, Sue; Bluecheck, Gloria; Butcher, Howard; Mass, Meridean; &
Swanson, Elizabeth (2012). NOC and NIC Linkages to NANDA-I and Clinical Conditions : Supporting Critical Reasoning and Quality Care, 3rdEd., Marryland : Mosby.
Kwang Wuthanan (2017). Coaching: Coaching strategies to conquer professional goals,
(Translated from Coaching for Performance, written by John Whitemore), Nonthaburi: Image Print Partnership.
Kuiper.R., Pesut,D.J., & Arms, T.E. (2016). Clinical reasoning and case coordination in advance
practice nursing. New York: Springer, pp.56-63.
McSherry,R, Pearce, P. (2007). Clinical Governance. A Guide to Implementation for Health
care Professionals, 2nd edn. Blackwell Publishing: Oxford.
Moorhead, S., Swanson, E., Johnson,M., Mass, M. (Eds.). (2018). Nursing Outcome
Classification (NOC): Measurement of health outcomes. (6th ed.). St Louis: MO:Elservier.
Muller-Staub,M.; Needham,O.; Odenbriet, M.; Levn, M.A. & Van achterberg, T.,(2007). Improve
quality of nursing documentation: Results of nursing diagnoses, interventions and outcomes, interventions and outcome implementations study. International Journal of Nursing Terminologies and Classifications. 18(1), pp.5-17.
Muller-Staub,M.(2009). Evaluation of the implementation of nursing diagnoses, interventions,
and outcomes. International of Nursing Terminologies and Classificagtions. 20(1), 9-15.
Pesut, R.M. & Herman.(1999). The art and science of critical and creative thinking. NY:
Delmar.
Seaback, Wanda.(2006). Nursing Process: Concepts & Application. (2nd. Ed.), New York:
Thomson-Delmar Learning.
Thomson, Carl & Dowding, Dawn (2009). Essential Decision Making and Clinical Judgment for
Nurses. New York: Churchill Livingstone, pp. 1-5.
Zerwekh, JoAnn & Cloborn, Jo Carol (2009). Nursing Today : Transition and Trends, 6th ed.
Saint Louis: Saunders.