The effects of a knowledge management program of practice in discharge planning’s perception for patients with acute myocardial infarction in a community Hospital, Narathiwat province
Keywords:
acute myocardial infarction, knowledge management, discharge planning practiceAbstract
This two-group (pretest and posttest) quasi-experimental study aimed to compare the impact of a knowledge management program of practice in discharge planning for patients with acute myocardial infarction in a community hospital, Narathiwat province. The sample consisted of 30 registered nurses divided into two groups: 15 in an experimental group and 15 in a control group. The study employed a two-part instrument. The knowledge management process was applied from the knowledge management concept, and a perception measurement for discharge planning practices. The data were analyzed using descriptive statistics, percentage, mean, and standard deviation, the Wilcoxon signed-rank test, and the Mann-Whitney U test.
The study found that after the experiment, the experimental group’s perception of practice in discharge planning was high (Mean = 4.50, SD = 0.32), while that of the control group was moderate (Mean = 3.31, SD = 0.33). A comparison of the means after receiving the knowledge management program revealed that the experimental group’s perception of practice in discharge planning for patients with acute myocardial infarction was higher than that of the control group, with a statistical significance of .05 (p < .05). This study can apply the knowledge management process concept to discharge planning for acute myocardial infarction patients to enhance an effective discharge planning system and to prepare patients to take care of themselves upon discharge from the hospital.
References
Chairin B, Akkadechanunt T, Sirakamon S. Quality improvement of discharge planning for patients with acute myocardial infarction in cardiac care unit, Nakornping Hospital, Chiang Mai Province. Nursing Journal CMU [internet]. 2020 Sep 18 [cited 2023 Apr 26];47(3):389-9. Available from: https://he02.tci-thaijo.org/index.php/cmunursing/article/view/245784. (in Thai).
Srirat C, Panuthai S. Factors relating readiness for hospital discharge among hospitalized patients in tertiary hospital. Nurs Res Inno J [internet]. 2017 [cited 2023 May 22];23(1):99–112. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/44928?utm_source=chatgpt.com. (in Thai).
Maramba PJ, Richards S, Myers AL, Larrabee JH. Discharge planning process: applying a model for evidence-based practice. J Nurs Care Qual. 2004 Apr-Jun;19(2):123-9. doi: 10.1097/00001786-200404000-00009.
Nilliaum R, Kaewsasri A, Sinsawad P. Nurse’s role in preparing hospital discharge readiness for caregiver of the patient with acute myocardial infarction. Thai J Cardio-Thorac Nurs[internet]. 2018 Mar 24 [cited 2023 May 25];28(2):28-37. Available from: https://he02.tci- thaijo.org/index.php/journalthaicvtnurse/article/view/116648. (in Thai).
World Health Organization (WHO). The top 10 causes of death. [Internet]. 2024 Aug 7 [cited 2024 Aug 7]. Available from: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death.
Ministry of Public Health. Ministry of Public Health KPI. [cited 2024 Aug 6]. Available from: https://healthkpi.moph.go.th/kpi2/kpi/index2/. (in Thai).
Ra-ngae Hospital nursing group executive committee. Management structure of the nursing mission group at a community hospital. Ra-ngae Hospital; 2022. (in Thai).
The Canadian Association of discharge planning and continuity of care (CADPACC). Guidelines and standards for discharge planning coordinators. Ontaria: CADPACC; 1995.
Lin CJ, Cheng SJ, Shih SC, Chu CH, Tjung JJ. Discharge planning. Int. J. Gerontol. 2012;6(4):237-40. doi: 10.1016/j.ijge.2012.05.001.
Khamkong M, Chotibun P, Singsri T. Registered nurses competencies in caring patients with quality and Safety. EAU Heritage J [internet]. 2019 [cited 2025 Jun. 1];10(2):183-93. Available from: https://so01.tci-thaijo.org/index.php/EAUHJSocSci/article/view/243284/164934. (in Thai).
Probst G, Raub S, Romhardt K. Managing knowledge building blocks for success. England: John Wiley & Sons; 2000.
Phanthasee P. Nursing process & functional health pattern: application in Clinical practice.22nd edition. Bangkok; 2018.
Cohen J. Statistical power analysis for the behavioral sciences. 2nd edition. Hillsdale (NJ): Erlbaum; 1988.
Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. 8th edition. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2008.
Taya K, Ngamsantiwong P. Application of information technology as a tool for knowledge sharing and management in organizations. Technol Acad J [internet]. 2022 Aug 31 [cited 2022 Nov 25];4(9):4-15. available from: https://sc01.tci-thaijo.org/index.php/dtaj/article/view/240251. (in Thai).
Maliwan P, Wichaikhum O, Abhicharttibutra K. Perception of nurses regarding knowledge management of Sriphat medical center, Faculty of Medicine, Chiang Mai University. Nursing Journal CMU [internet]. 2020 Sep 18[cited 2023 Jun 1];47(3):400-7. Available from: https://he02.tci-thaijo.org/index.php/cmunursing/article/view/245785. (in Thai).
Sudprasert C, Promchot P, Porntheerapat N, Pisittakarn N. The effect of knowledge management program of nurses for practice on pediatric patient with central venous catheters care guidelines at pediatric’s surgical ward. J DMS [internet]. 2019 Jun 1 [cited 2023 Apr 2]; 4(3):47–51. Available from: https://he02.tci- thaijo.org/index.php/JDMS/article/view/246767. (in Thai).
Kittikul P, Singchungchai P, Aree P. Effect of the knowledge management program on first-line nurse managers’ breastfeeding counseling behavior at a tertiary hospital. J Nurs Educ [internet]. 2021[cited 2022 Nov 2];14(3):47-60. Available from: https://he01.tci- thaijo.org/index.php/JNAE/article/view/254575/172045. (in Thai).
Srisuk R, Kaewnimitchai N, Nateetanasombat K. The effects of discharge planning on self care behaviors and health status among older persons with heart failure admitted In a Central Regional Hospital. Boromarajonani College of Nursing, Uttaradit Journal. 2015;7(1):13-30. (in Thai).
Horwitz LI, Moriarty JP, Chen C, Fogerty RL, Brewster UC, Kanade S, et al. Quality of discharge practices and patient understanding at an academic medical center. JAMA Intern Med. 2013 Oct 14;173(18):1715-22. doi: 10.1001/jamainternmed.2013.9318.
Kulruttanamas E, Wisesrith W. Experiences of nurses in care management of end of life patients. J Royal Thai Army Nurses [internet]. 2017 Oct 19. [cited 2023 Nov 5];18(suppl 2):76-84. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/101595. (in Thai).
Maeroh N, Kongsuwan W, Yodchai K. Barriers in providing palliative care in intensive care units: nurses’ experiences. Songklanagarind J Nurs [internet]. 2017 [cited 2023 May 22];37(3):74-82. Available from: https://he02.tci-thaijo.org/index.php/nur-psu/article/view/100363/78121. (in Thai).
Moorhead SA, Hazlett DE, Harrison L, Carroll JK, Irwin A, Hoving C. A new dimension of health care: systematic review of the uses, benefits, and limitations of social media for health communication. J Med Internet Res. 2013 Apr 23;15(4):e85. doi:10.2196/jmir.1933.
Wattradu D, Jamsomboon K, Sanprasan P, Suthipong N, Taechaveerakorn N, Prousoontor M. Factors influencing to knowledge management of cardiovascular nursing in registered nurses. Thai J Cardio-Thorac Nurs [internet]. 2017 Mar. 9 [cited 2023 May 13];27(2):85-99. Available from: https://he02.tcithaijo.org/index.php/journalthaicvtnurse/ article/view/79377. (in Thai).
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