Program to improve quality of breast cancer care at Somdech Phra Debaratana Medical Center
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Abstract: This research aimed to study the program to improve the quality of care for breast cancer patients. The study was conducted during July–December 2018. The samples were 48 nurses and 49 breast cancer patients. The program was developed using Donabedian’s model and literature reviews as the conceptual framework. The program consisted of: (1) Structure, nursing knowledge and skills training, and continuous care plan in caring for breast cancer patients; (2) Process of care; and (3) Outcomes of the program. Data collection tools included nurses’ and patients’ demographic records, nursing knowledge and skills assessment, nurses’ opinions on the continuous care plan, the Thai Hospital Anxiety and Depression scale,
services received according to care plan, treatment for preventable complications, and patient’s satisfaction. Data were analyzed using descriptive statistics and t-test. Results showed that after joining the program, the mean scores of nurses’ knowledge and skills were significantly higher than before joining the program (p <.001). The patients had the mean score of anxiety lower than before participating the program with statistical significance (p <.05). However, the depression mean score was lower than before participating in the program with no statistical significance (p = .685). There was a lower rate of preventable complications than before starting the program. The program to improve quality of breast cancer care resulted in better
outcomes for both patients and nurses. The program should be further implemented and evaluated.
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