Development of a One-day Nursing Guideline for Inguinal Hernia Surgery Patients at Buddhachinaraj Hospital, Phitsanulok

Abstract

This research and development aimed to develop and examine the effects of a one-day nursing guideline for inguinal hernia surgery patients at Buddhachinnaraj Hospital, Phitsanulok. There were three phases of this study: 1) surveying the current situations of one-day nursing guidelines for inguinal hernia surgery patients, 2) developing a one-day nursing guideline for inguinal hernia surgery patients, 3) performing and evaluating a one-day nursing guideline for inguinal hernia surgery patients. Samples comprised 6 waiting room nurses and 29 one-day inguinal hernia surgery patients. The findings showed that nurses in the waiting room for one-day inguinal hernia surgery patients took care of patients differently and provided different information, which did not cover all necessary information. The one-day nursing guideline for inguinal hernia surgery patients comprised four nursing activities: 1) making an appointment with the surgical patients at the waiting room, 2) calling to check with the patients one day prior to surgery, 3) taking care of the patients on the day of surgery, and 4) calling to follow up with the patients after the surgery. After using the developed guidelines, the results were that nurses and patients performed better practices for pre-and post-operation in inguinal hernia. Both nurses and patients were satisfied with the new guidelines. In addition, there was no incidence of postponed surgery of patients from surgery due to lack of preparation. Therefore, using the one-day nursing guideline in other patients undergoing other procedures was recommended.