Development Clinical Nursing Practice Guidelines for cataract surgery patients in the operating room at Kalasin Hospital

Abstract

The purpose of this study was to develop and study the effect of nursing practice guidelines for cataract surgery patients in the operating room at Kalasin Hospital. Is a development research using the conceptual framework of National Health and Medical Research Council [NHMRC], 1998 Let's define it as a 3 step process for developing a nursing practice guideline (1) formulating guidelines (2) implementing guidelines (3) assessing results The sample group consisted of A group of 30 guideline users and a group of 60 people receiving nursing care according to the guidelines by choosing a specific Between May and September 2018. The tools used in the research consisted (1) Instruments used in conducting research, such as a guideline for nursing practice for cataract surgery patients, operating room at Kalasin Hospital; The content was checked by 3 qualified persons, the CVI value was 1.00 (2) The tools used for data collection are: (1) a feasibility questionnaire of the nursing practice guideline; (2) clinical outcome record form (3) patient and relative satisfaction questionnaire To find the confidence of the questionnaire, Cronbach's alpha coefficient was 0.95 Quantitative data were analyzed by frequency distribution, mean and percentage The results showed that the probability of applying the Kalasin Hospital cataract surgery nursing practice guideline to use the average of the overall opinion was at a highly agreeable level (Mean = 4.69) Clinical results showed that The overall mean had complications 33.33 percent. The group who received standardized nursing care had complications (26.67 percent) higher than the evidence-based care group (3.33 percent) and satisfaction of patients and their relatives who received nursing in accordance with the nursing practice guidelines for cataract surgery patients in the operating room at Kalasin Hospital. It was found that the overall average was at a high level. It can be seen that when operating room professional nurses applied the guidelines for nursing patients undergoing cataract surgery in Kalasin Hospital, the incidence of clinical complications was high. Patients are safer and reduce lawsuits from patients and relatives as well.