Quality Improvement of Information Provision for Patients with Endotracheal Intubation and Their Relatives, Surgical Critical Care Unit, Maharaj Nakorn Chiang Mai Hospital

Authors

  • wasana chaiwong Faculty of Nursing, Chiang Mai University
  • Orn-anong Wichaikhum faculty of nursing Chiang Mai University
  • Kulwadee Abhicharttibutra faculty of nursing Chiang Mai University

Keywords:

Quality, Quality Improvement, Information Provision, Patients with endotracheal intubation, Relatives

Abstract

          Improving quality of work is important for nursing administrators and nurses. The purpose of this study was to improve the quality of information provision for patients with endotracheal intubation and their relatives in the surgical critical care unit at Maharaj Nakorn Chiang Mai Hospital and to study the quality of information provision, using Deming's FOCUS-PDCA quality improvement model. The sample consisted of 14 registered nurses, and 20 patients with endotracheal intubation and 6 of their relatives. The instruments included: questions in group discussions, an information provision manual for endotracheal intubation patients and their relatives, an observation checklist for information provision practice for endotracheal intubation patients and their relatives, the endotracheal tube traction incidence record form, and a questionnaire on the satisfaction of patients with endotracheal intubation and the satisfaction of their relatives regarding the information they received. Content analysis and descriptive statistics were used for data analysis. 
            The results revealed that 88.33% of the registered nurses were able to correctly and completely implement the information provided for patients with endotracheal intubation and their relatives. There was no incidence of unplanned endotracheal tube traction. In addition, the patients with endotracheal intubation and their relatives were satisfied with the information they received at the highest and high levels (75.44% and 22.78%, respectively).
          The results of this study showed that nurses can use this method to provide information for patients with endotracheal intubation and their relatives.

References

Becker, M. H., & Maiman, L. A. (1980). Strategies for enhancing patient compliance. Journal of Community Health, 6(2), 113-135.

Boonyaratkalin, P. (2019). Communicating with family of patients in intensive care unit: Nurse’s role. Thai Red Cross Nursing Journal, 12(2), 63-75. (in Thai)

Cavallazzi, R., Saad M., & Marik P. E. (2012). Delirium in the ICU: An overview. Annals of Intensive Care, 2(1), 49. https://doi.org/doi: 10.1186/2110-5820-2-49

Chanpradit, P. (2000). Experience of patient in receiving mechanical ventilation [Unpublished master’s thesis]. Prince of Songkla University. (in Thai)

Chanwet, L. (2009). Tracheal intubation. (Intubation). http://medinfo2.psu.ac.th/anesth/ education/intubation.html

Chuthip, P. (2020). The effect of nursing protocol for prevention of unplanned extubation in medical patients, Phattalung. Journal of Health Research and Innovation, 3(1), 31-45. (in Thai)

Jantana, W., & Sapsanguanboon, W. (2020). Productivity improvement in ceramic production process: A case study of factory in Samut Prakan. Songklanakarin Journal of Management Sciences, 37(2), 58-83. (in Thai)

Khiewchaum, R., Ngamkhum, S., & Kittithonrakun, M. (2013). The effects of using a clinical nursing guideline for caregivers’ preparation in caring for patients with traumatic brain injury. Nursing Journal of the Ministry of Public Health, 23(1), 15-29. (in Thai)

Malivu, A., Sripunyavuttisuk, Y., & Attakamon, S. (2014). Effectiveness of information management program on anxiety and satisfaction for family members at patients in intensive care unit. Journal of Nursing and Education, 7(2), 95-108. (in Thai)

McLaughlin, C. P., & Kaluzny, A. D. (1999). Continuous quality improvement in health care: Theory, implementation, and application. Aspen.

Navarat, W., Prittipongpun. P., Srianurak, P., Kanyakamin, P., & Bohplian, S. (2017). Effect of PMK unplanned extubation prevention program on extubation rate in medical wards, Phramongkutklao Hospital. Journal of The Royal Thai Army Nurses, 18(1), 160-175. (in Thai)

Norakhun, S., Namjuntra, R., & Binhosen, V. (2016). The effect of nursing care protocol on the incidence rates of unplanned extubation in patients with endotracheal intubation. Thai Journal of Cardio-Thoracic Nursing, 27(1), 78-84. (in Thai)

Ongsakul, V. (2018). Process mapping: How to create work flow and work improvement.https://www.sbdc.co.th/knowledge/article/163/process-mapping

Panyasai, K. (2010). Effects of information and emotional support on anxiety and satisfaction among family members of patients in general intensive care unit, Lampang [Unpublished Independent Study]. Chiang Mai University. (in Thai)

Phumivadhana, S. (2020). Humanized nursing care for patients receiving invasive mechanical ventilator: From concept to practice. Vajira Nursing Journal, 22(1), 70-90. (in Thai)

Piyaram, C. (2012). The development of a model for providing information to patients and relatives for nurses in the female surgical ward Buriram Hospital [Unpublished independent study]. Khon Kaen University. (in Thai)

Saipataranusorn, S. (2002). The effect of using impressive nursing service behavior development program for professional nurses on patient satisfaction, in an accident and emergency unit [Unpublished master’s thesis]. Chulalongkorn University. (in Thai)

Saksriwatana, K., Ratanamaitrekeart, R., Anannaweenusorn, J., & Chongjarearn, A. (2020).Development of nursing practice guideline among spine surgery patients in Chonburi Hospital. Journal of The Royal Thai Army Nurses, 21(1), 376-384. (in Thai)

Sattam, A. (2007). The effect of information providing based on family’s needs on family’s satisfaction in the family having the patient admitted in the intensive care unit [Unpublished master’s thesis]. Khon Kaen University. (in Thai)

Srinaul, A., Thaniwattananon, P., & Kritpracha, C. (2014). The effect of information and family support on suffering reduction in elderly patients with oral endotracheal tube. Thai Journal of Nursing, 63(2), 46-55. (in Thai)

Srisaard, B. (1992). Preliminary research (3rd ed.). Suweeriyasan.

Supachutikul, A. (2000). Quality development tools (1st ed.). Hospital accreditation institute.

Suthammarak, N. (2014). Quality improvement of preoperative information provision for general surgical patients, Fort Surasakmontri Hospital, Lampang Province [Unpublished independent study]. Chiang Mai University. (in Thai)

Techajumroensook, B. (2020). Quality improvement with FOCUS-PDCA. https://ccpe.pharmacycouncil.org/index.php?option=article_detail&subpage=article_detail&id=983

Thelan, L. A., Urden, L. D., Lough, M. E., & Stacy, K. M. (1998). Critical care nursing: Diagnosis and management (3rd ed.). Mosby.

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Published

2023-09-27

How to Cite

chaiwong, wasana, Wichaikhum, O.- anong ., & Abhicharttibutra, K. . (2023). Quality Improvement of Information Provision for Patients with Endotracheal Intubation and Their Relatives, Surgical Critical Care Unit, Maharaj Nakorn Chiang Mai Hospital. Nursing Journal CMU, 50(3), 31–45. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/261233

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Section

Research Article