Development of Nursing Practice Guideline for Preventing Complications in Bed-Bound Elders at Home

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Pissamai Butimal
Sang-arun Isaramalai
Ploenpit Thaniwattananon


This study aimed to develop the nursing practice guideline for preventing complications in bedbound elders at home. Orem’s Nursing Theory, long term care for bed-bound elders and the clinical practice development process by the National Health and Medical Council, Australia were used as the conceptual framework of this study. The process of guideline development was divided into 2 phases. The first phase
consisted of 5 steps. The second phase, evaluation phase, consisted of 2 steps.
The guideline composed 4 components: 1) assessing problems and needs of the bed-bound elder,2) care planning to prevent complications from being bed-bound, 3) caregiving to prevent complications caused by being bed-bound at home using supportive educative nursing system based on Orem’s theory, and 4) follow-up assessment using a caregiver guide on preventing complications for bed-bound elders namely bedsore; joint stiffness and muscle weakness; respiratory infection; urinary tract infection and depression.
The content validity of the nursing practice guideline for preventing complications in bed bound elders at home was approved by 5 experts yielded the content validity index of 1.0. The inter-rater reliability yielded value of 99.2%
The developed practice guideline can be used to prevent complications for bed-bound elders.Effectiveness of nursing practice guideline is recommended for further study.


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How to Cite
Butimal, P., Isaramalai, S.- arun, & Thaniwattananon, P. (2018). Development of Nursing Practice Guideline for Preventing Complications in Bed-Bound Elders at Home. Journal of Research in Nursing-Midwifery and Health Sciences, 38(3), 79–91. Retrieved from
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