Development of seamless clinical nursing practice guidelines for patients with transthoracic echocardiography (TTE) With 4 main processes, 30 activities in Heart Center, Special Treatment Unit, Nursing Group, Lamphun Hospital.

Abstract

     This research was action research aimed to develop and implement seamless clinical nursing practice guidelines for patients with transthoracic echocardiography. Study was conducted from January to September 2023 for a period of 9 months. Sample consisted of professional nurses from the Heart Center 3 people and patients with thoracic echocardiography. Research tools included 1) general data collection form 2) guideline compliance monitoring form 3) guideline satisfaction assessment form 4) medical data collection form 5) qualitative focus group discussion form. Data were analyzed by descriptive statistics and before and after comparisons were performed using paired t-test.
     Results of study found sample group personnel Most were female 66.67%. Majority were 31-40 years old, 66.67% (Mean ± SD = 32.14 ± 4.41 years). Experience in caring for patients receiving TTE services was mostly 1-5 years, 66.67%. Development of guidelines consisted of 4 main processes and 30 activities: producing a variety of media that can be used by all ages, promoting knowledge about echocardiography through the chest, applying the group line, creating QR code VDO teaching Echo to make it easy for nurses to open the guidelines for patients to watch, which can reduce the incidence of complaints, increase satisfaction, and create guidelines that are appropriate for the context of Lamphun Hospital. Level of compliance with the guidelines The level of satisfaction with the guidelines from found that after using the program, the average score increased significantly at the .05 level (t = 3.61, 3.30).