A study of nursing outcome quality indicators for patients with post coronary artery bypass graft surgery
Keywords:
quality indicator, nursing outcome, post coronary artery bypass graft surgeryAbstract
The purpose of this research was to study of nursing outcomes quality indicators for patients with post coronary artery bypass graft surgery by use Delphi Technique. Twenty one experts agree to participate in this research related to care patients with post coronary artery bypass graft surgery. The questionnaires were developed by the researcher and used as the research instrument with Delphi Technique. They were developed in 3 major steps. Step 1: Using semi-open ended questionnaires, the experts were asked to identify of nursing outcomes quality indicators for patients with post coronary artery bypass graft surgery. Step 2: The data received from the first step was analyzed to develop the rating scale questionnaires. Step 3: Questionnaire items were analyzed by using median and interquartile range, then send back to the experts for their confirmation.
According to research, the nursing outcome quality indication for patients with post coronary artery bypass graft surgery composed of 5 categories and 63 indicators: 1) Nursing outcome quality indication of critical safety (37 indicators), 2) Nursing outcome quality indication of the relief of pain and discomfort (5 indicators), 3) Nursing outcome quality indication of nursing needs of physical, psychological, sociocultural and spiritual (7 indicators), 4)Nursing outcome quality indication of rehabilitation to physical, psychological before discharge from ICU (8 indicators), 5) Nursing outcome quality indication of nursing services satisfaction to patient and family (6 indicators). All of indicators were very important.
Recommendation: As a contribution to the field of nursing management, the results of this research can be used as a guideline for the development of nurses’ knowledge and skills for taking care of patients with post coronary artery bypass graft surgery.
References
2. Bureau of Non Communication Disease (NCD). The campaign issue of World Heart Day 2018 [Internet]. 2018 [cited 2018 Oct 29]. Available from: http://www.thaincd.com/2016/media-detail.php?id= 13233&tid=&gid=1-015-006.pdf. (in Thai).
3. Henhgcharoensuwan P. Factors associated with postoperative length of hospital stay in coronary artery bypass graft patients. Journal of Nursing Science. 2010; 28(1): 58-66. (in Thai).
4. Hillis LD, Smith PK, Andreson JL, Bittl JA, Bridges CR, Byrne JG, et al. 2011 ACCF/AHA guideline for coronary artery bypass graft surgery: a report of the American College of Cardiology Foundation/ American Heart Association Task Force on practice guidelines. J Am Coll Cardiol. 2011; 58(24): 2584-614.
5. Sayasathid J. Common cardiac surgery. 1st ed. Phitsanulok: Global Print; 2012. (in Thai).
6. Central Chest Institute Of Thailand. Nursing standard for patients post cardiac surgery in crisis [Internet]. 2011 [cited 2016 April 10]. Available from: www.ccit.go.th/document_upload /km/55-1.pdf. (in Thai).
7. Saenprasarn P, Wattradul D, Srilum B. Safety and CVT nursing competency. 1st ed. Bangkok: Sukhumvitprinting; 2008. (in Thai).
8. Chaimongkol O. Care manage for CABG patients with renal dysfunction: literature review. Thai Journal of Cardio-Thoracic Nursing. 2010; 21(2): 2-17. (in Thai)
9. Moorhead S, Johnson M, Maas M, Swanson E. Nursing outcomes classification: NOC. 5th ed. Missouri: Mosby; 2013.
10. The Healthcare Accreditation Institute (Public Organization). Thailand Hospital Indicator Project: THIP [Internet]. 2016 [cited 2017 April 12]. Available from: http://www2.vajira.ac.th/tqm/wp-content/uploads/2016/09.pdf. (in Thai).
11. Srisatidnarakul B. Leadership and strategic management in nursing organization for the 21st century. 2nd ed. Bangkok: Chulalongkorn University Press; 2007. (in Thai).
12. Jumpamool A. Development of care patients: case management [Internet]. 2015 [cited 2016 May 30]. Available from: http://trainuac.kku .ac.th/download/w_careplan.pdf. (in Thai).
13. Kleinpell RM. Outcome assessment in advanced practice nursing. 3rd ed. United States of America: Springer Publishing Company; 2013.
14. Boontawee S. A study of nursing quality indicators for patients with acute myocardial infarction [Master Thesis of Nursing Science]. Bangkok: Chulalongkorn University; 2013. (in Thai).
15. Central Chest Institute of Thailand. Nursing standard for patients post coronary artery bypass graft [Internet]. 2012 [cited 2016 April 10]. Available from: www.ccit.go.th/document _upload/km/55-1.pdf. (in Thai).
16. Hawkes AL, Nowak M, Bidstrup B, Speare R. Outcomes of coronary artery bypass graft surgery. Vasc Health Risk Manag. 2006; 2(4): 477-87.
17. Gracht HA. Consensus measurement in delphi studies: review and implication for future quality assurance. Technol Forecast Soc Change. 2012; 79(8): 1525-36.
18. Cove ME, Spelmen DW, MacLaren G. Infection complications of cardiac surgery: a clinical review. J Cardiothorac Vasc Anesth. 2012; 26(6): 1094-100.
19. Guru V, Anderson GM, Fremes SE, O’Connor GT, Grover FL, Tu JV. The identification and development of Canadian coronary artery bypass graft surgery quality indicators. J Thorac Cardiovasc Surg. 2005; 130(5): 1257.e1-11.
20. Aroesty JM. Patient information: coronary artery bypass graft surgery (Beyond the Basics) [Internet]. 2016 [cited 2016 June 19]. Available from: http://www.uptodate.com/ contents /coronary-artery-bypass-graft-surgery-beyond-the-basics.
21. Landoni G, Bove T, Crivellari M, Poli D, Fochi O, Marchetti C, et al. Acute renal failure after isolated CABG surgery: six years of experience. Minerva Anestesiol. 2007; 73(11): 559-65.
22. Bureau of Nursing, Office of Permanent Secretary, Ministry of Public Health. Nursing standard in hospital. 1st ed. Bangkok: The War Veterans Organization of Thailand printing; 2007. (in Thai).
23. Sornpirom S. Nursing care of critical patients post cardiovascular surgery. Srinagarind Medical Journal. 2016; 31(Suppl): 46-52. (in Thai).
24. Wattradul D. Cardiac rehabilitation: transition care from hospital to home. Thai Journal of Cardio-Thoracic Nursing. 2015; 26(1): 89-103. (in Thai).
25. Heyland DK, Tranmer JE. Measuring family satisfaction with care in the intensive care unit: the development of a questionnaire and preliminary results. J Crit Care. 2001; 16(4): 142-9.
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