The Development of Clinical Nursing Practice Guideline for Self-care Promotion of Chronic Kidney Disease Patients of Khao Wong Hospital, Kalasin Province

Abstract

This research and development study is aimed at developing a Clinical Nursing Practice Guideline (CNPG) and study the outcome of utilization of CNPG of chronic kidney disease patients for self-care promotion of Khao Wong Hospital, Kalasin province. The framework of this development is based on a clinical nursing practice guideline of Soukup. The participants consisted of 10 registered nurses from out patients department and 20 registered nurses from in patients department. The research instruments included the CNPG of chronic kidney disease, The evaluation of chronic kidney disease nursing tool, nursing process utilizing capacity assessment tool, and registered nurses satisfaction tool were used for data collection. Data were analysed using descriptive statistics including frequency, percentage, mean, standard deviation, and independent t-test. The findings revealed that the development of CNPG of chronic kidney disease at Khao Wong Hospital, Kalasin province are separated in four phases 1) To study pre-development CNPG of chronic kidney disease. 2) To study evidence based CNPG development of chronic kidney disease 3) To adjust the results of 1) and 2) and implement health strategy with patients. 4) To evaluate the utilization of the four subjects of CNPG, which indicated that the ability level in utilizing CNPG among registered nurses were good (mean = 27.13, S.D. = 2.13), nursing knowledge score about chronic kidney disease among registered nurses was increased after the study and was differing significantly (P<.001), and the satisfaction of registered nurses toward using the CNPG of chronic kidney disease was increased after the study and differentiated significantly (P<.001). The results of this study suggest that the CNPG of chronic kidney disease can be used for the development of nursing service in chronic kidney disease clinic and can be applied to other clinics.