The Development of a Clinical Nursing Practice Guideline for Patients with Psychiatric Disorders Undergoing Modified Electroconvulsive Therapy
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Abstract
Objective: This research and development aimed to develop and evaluate a clinical nursing practice guideline (CNPG) for patients with psychiatric disorders treated by modified electroconvulsive therapy (MECT). Methods: The CNPG was developed based on the conceptual framework of the guideline of the National Health and Medical Research Council Australia, literature reviews, evidences of nursing care for patients with psychiatric disorders undergoing MECT, and nursing process. The research method comprised two stages: (1) developing a clinical nursing practices guideline, and (2) evaluating the CNPG. The quality of the CNPG was verified by three experts. The participants comprised 32 registered nurses at the Songkhla Rajanagarindra Psychiatric Hospital. Data were analyzed using descriptive statistics and content analysis. Results: The results revealed that: 1) The clinical nursing practice guideline for patients with psychiatric disorder treated by modified electroconvulsive therapy consisted of: name, objectives, target group, flow chart of the CNPG, and the essential contents of the CNPG based on the nursing process, including three phases, preparing the treatment phase, during the treatment phase, and after the nursing treatment phase. 2) The content validity of the CNPG was verified by three experts and CVI yielded the value of .97. 3) The quality of the CNPG was verified by four experts and overall AGREE II yielded a value of 95.63%. 4) The feasibility of the CNPG was tested by registered nurses. They reported that the possibility of using the guideline in the preparation, during treatment, and continued care phases were 71.88-100, 93.75-100, and 90.75-100% respectively. The overall satisfaction with using the CNPG was at a high level (M = 4.74, SD =.40). Conclusion: The findings of the study suggest that this clinical practice guideline could be applied in practice. Therefore, this guideline should be implemented in psychiatric hospitals that have patients receiving modified electroconvulsive therapy.
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