Effectiveness of Cell Method Nursing Assignment for Hemorrhagic Stroke Patient’s Quality of Care at Neurosurgical Ward, Udonthani Hospital

Abstract

It is challenge for healthcare providers who should have suitable plans of caring modelfor the patients. A suitable nurse assignment is the key factor which should be assist nurses totake care the patients properly and effectively. The Neurosurgical ward, Udonthani Hospital hadbeen assigned a job as a team and functional caring model. The problems were nurses paidtoo much attention to routine job rather than professional learning and lack of holistic care. Cellmethod nursing assignment model was applied to improve the quality of nursing care. Aimsto study the effectiveness of cell method nursing assignment model which applied to qualityof nursing care in hemorrhagic stroke patient at Neurosurgical ward, Udonthani Hospital.

This research was a quasi-experimental study. Three groups of samples were selected by purposive samplings, 1) 45 hemorrhagic stroke patients before applying a cell method nursing assignment model, 2) 45 caregivers of patients in the test group. 3) 20 registered nurses who work at a Neurosurgical Ward, Udonthani Hospital. The instruments were the cell method nursing assignment model, caregiver knowledge of stroke disease questionnaire, the Barthel ADL index assessment and nurse’s satisfaction questionnaire. The questionnaire was verified the validity by specialists and reliability was analyzed by Cronbach’s Alpha Coefficient . The aspect of knowledge questionnaire and satisfaction questionnaire were 0.85. The data were collected from 1stJune 2015 to 15th July 2015 and analyzed by using descriptive statistic and Paired t-test in SPSS version 16.0

Results : 1) The experimental hemorrhagic stroke patients on discharge date had theBarthel ADL index higher than admission date with statistically significant at p<0.05 . 2) Caregivers of the controlled group had higher scores of knowledge test than the compared groupsignificantly. And 3) Registered nurse’s satisfaction about method nursing assignment modelto nursing care after had used period was higher than before. All of finding were statisticallysignificant at p<0.05

Conclusion : The cell method nursing assignment model should be continuously encouraged to apply in the Neurosurgical ward and another similar wards to improve the quality of care.