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The purpose of this study was to examine the feasibility and satisfaction of nurses with applying the Nursing Care Plan for Persons with Heart Failure (NCPPHF)admitted to Nakhon Phanom Hospital. Donabedian’s Quality Framework and Soukup’s Evidence-based Practice Model was used to guide the study. Participants consisted of 18 nurses from two medical wards, and eight nurses from the Home Health Care Unit at Nakhon Phanom Hospital. The NCPPHF was used with patients who were admitted
to the medical ward until discharge from hospital to home for three months. The instruments used to collect data included questionnaires to elicit the personal data and the feasibility to use the NCPPHF for each item and as a whole and satisfaction of nurses with using the Nursing Care Plan. Data were analyzed with descriptive statistics. The findings revealed that most nurses agreed that the NCPPHF was possible to use. Only 25% of Home Health Care nurses agreed with the NCPPHF in terms of monitoring patients by a telephone call after discharge from the hospital. In addition, nurses were
satisfied with the NCPPHF with the highest level. In conclusion, the NCPPHF is feasible to use. Criteria of persons with heart failure for home visits monitoring should be developed so nurses can monitor persons with heart failure by telephone call after discharge from the hospital. The continuing home visit had to maintain effectiveness of nursing care. The Administration Board of Nakhon Phanom Hospital should systematically support collaborative units of care in managing effective care of persons with heart failure. All nurses who are responsible for caring heart failure persons should have the opportunity to be trained in knowledge and care of persons with heart failure.
Keywords: Feasibility study, Nursing care plan, Heart failure, Secondary hospital
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
Strategy and Planning Division Ministry of Public Health.Public health statistics A.D. 2017; 2017 [cite 2017
October 5]. Available from Strategy and Planning Division Website:http://bps.moph.go.th/new_bps/sites/default/files/ ill_2560_full.pdf (in Thai)
Yancy CW, Jessup M, Bozkurt B, Butler J, Casey Jr DE,Colvin MM, et al. 2017 ACC/AHA/HFSA Focused
update of the 2013 ACCF/AHA guideline for the management of heart failure: a report of the American
College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. JACC. 2017;70(6):776-803.
Bureau of Policy and Strategy, Ministry of Public Health.Statistical Thailand 2015. Bangkok: The War Veterans
Organization of Thailand Under Royal Patronage of His Majesty the King Office of Printing Mill; 2016. (in Thai)
Ua-Kit N, Srikong P. Heart failure: nursing care and advice. Journal of Public Health Nursing. 2013; 27(1):
–43. (in Thai)
Hachuk W. The influence of uncertainty in illness, health literacy, and social support on quality of life of patients with heart failure [thesis]. Nakhon Pathom: Mahidol University; 2012. (in Thai)
Prachanban N. The effect of a self–efficacy promotion program for patients with heart failure and their caregivers on readmission of the patients [thesis]. Nakhon Pathom:Mahidol University; 2012. (in Thai)
Soomhirun R, Monkong S, Khuwawatanasamrit K. A literature review related to the management for reducing
readmission in patients with heart failure. Thai Journal of Cardio-thoracic Nursing. 2009;20(1):18–33. (in Thai)
Kasper EK, Gerstenblith G, Hefter G, Van Anden E,Brinker JA, Thiemann DR, et al. A randomized trial of the
efficacy of multidisciplinary care in heart failure outpatients at high risk of hospital readmission. J Am Coll Cardiol.2002;39(3):471-80.
Hansen LO, Young RS, Hinami K, Leung A, Williams MV. Interventions to reduce 30-day rehospitalization: a
systematic review. Ann Intern Med. 2011;155(8):520-28.
White SM, Hill A. A heart failure initiative to reduce the length of stay and readmission rates. Prof Case Manag.2014;19(6):276 – 84.
Yindesuk T, Wachirawat W, Keeratiyutawong P. Clinical pathway for promoting self-management of patients with congestive heart failure at Sappasittiprasong hospital. Thai Journal of Nursing Council. 2011;26(4):70-81. (in Thai)
Chaikitamnuaychok S, Unburee J. Development of a transitional care programme for heart failure patients at
Kamphaengphet Hospital. Thai Journal of Nursing Council.2015;30(4), 45-56. (in Thai)
Nakhon Phanom Hospital, Medical Record and Statistics Unit. The statistics of patients with heart failure admitted in the inpatient department of Nakhon Phanom Hospital,Ministry of Public Health; 2016. (in Thai)
Benner PE. From novice to expert: excellence and power in clinical nursing practice. Commemorative edition. Upper saddle river, N.J.: Prentice Hall; 2001.
Joynt KE, Jha AK. A path forward on medicare readmissions. N Engl J Med. 2013;368(13):1175-7.
Dicenso A, Guyatt G, Ciliska D. Evidence base nursing:a guide to clinical practice. St. Louis, MO: Mosby; 2005.
National Health and Medical Research Council. [NHMRC].A guide to the developmental, implementation and
evaluation of clinical practice guidelines; 1999 [cite 2010 April 10] Available from National Health and Medical
Research Council Web site: http://www.nhmrc.gov.au/_files_nhmrc/file/publications/synopses/cp30.pdf
Chatprapan N. Development of nursing practice guidelines for self-management support among older persons with heart failure, Somdejphajaotaksin Maharaj Hospital, Tak Province [thesis]. Chiang Mai: Chiang Mai University;2011. (in Thai)
Topaiboon P. Effectiveness of implementing clinical practice guidelines for cardiac rehabilitation among older
persons with chronic heart failure, Maharaj Nakorn Chiang Mai Hospital [thesis]. Chiang Mai: Chiang Mai University;2011. (in Thai)
Amakali K. Clinical care for the patient with heart failure:a nursing care perspective. Cardiol Pharmacol.
Moore JA. Evaluation of the efficacy of a nurse practitioner-led home-based congestive heart failure
clinical pathway. Home Health Care Serv Q.2016;35(1):39–51.
Donabedian A. Commentary on some studies of the quality of care. Health Care Financ Rev. 1987; (Supplement):75-85.
Soukup SM. The Center for Advanced Nursing Practice evidence-based practice model: promoting the scholarship of practice. Nurs Clin North Am. 2000;35(2):301-9.
Bowen DJ, Kreuter M, Spring B, Cofta-Woerpel L, Linnan L, Weiner D, et al. How we design feasibility studies. Am J Prev Med. 2009;36(5):452-57.
Chuenkamol W. The effect of clinical practice guideline for eye care in persons with type 2 diabetes [thesis]. ChonBuri: Burapha University; 2011. (in Thai)
Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing and healthcare: a guide to best practice.
Philadelphia: Lippincott, Williams & Wilkins; 2005
The Royal College of Physicians of Thailand. Guide to develop clinical practice guidelines. Royal College
Bulletin. 2001;18(6):36-47. (in Thai)
Polit FD, Hungler PB. Essentials of nursing research:methods, appraisal, and utilization. 5thed. Philadelphia:
Kinsman L, Rotter T, James E, Snow P, Willis J. What is a clinical pathway? Development of a definition to inform the debate. BMC Med. 2010;8(31). doi:10.1186/1741-7015-8-31.
Lawal AK, Rotter T, Kinsman L, Machotta A,Ronellenfitsch U, Scott SD, et al. What is a clinical
pathway? Refinement of an operational definition to identify clinical pathway studies for a Cochrane systematic
review. BMC Med. 2016;14(35). doi:10.1186/s12916-016-0580-z
Panella M, Marchisio S, Gardini A, Di Stanislao F. A cluster randomized controlled trial of a clinical pathway
for hospital treatment of heart failure: study design and population. BMC Health Serv Res. 2007;7:179.
Ruangwilai N, Nantachaipan P, Chaiard J. A systematic review on post discharge care for patients with heart failure.Nursing Journal. 2013;40(3):50-61. (in Thai)