The Effect of A Clinical Practice Guideline on Abdominal Pain Triage in An Outpatient

Authors

  • สุธาสินี พิมพ์สังข์ คณะพยาบาลศาสตร์ มหาวิทยาลัยธรรมศาสตร์
  • จีราภรณ์ กรรมบุตร คณะพยาบาลศาสตร์ มหาวิทยาลัยธรรมศาสตร์
  • มยุรี นิรัตธราดร คณะพยาบาลศาสตร์ มหาวิทยาลัยธรรมศาสตร์

Keywords:

clinical practice guideline, abdominal pain, triage

Abstract

Abdominal pain is a common symptom in outpatients that involve in many organs and is caused by several factors. The most inaccuracy in abdominal pain triage were reported in the Thammasat University Hospital database. This preliminary study was a quasi-experimental research which had the purpose to examine the effects of a clinical practice guideline on abdominal pain triage in outpatients. The purposive samples were 6 triage nurses. The research instruments used in this study consisted of the clinical practice guideline and an instruction manual for abdominal pain triage in outpatients, which were developed by using the IOWA model and examined by 3 experts and a satisfaction questionnaire. The reliability of the guideline was confirmed with an inter-rater reliability coefficient of 1. The preliminary data were analyzed using descriptive statistics, chi-squared, and Fisher’s exact test. The result revealed that triage nurses had high satisfaction in overall of using such guideline. The guideline consist of clear steps of triage is helpful, convenience and improve the nurse confidence in triage accuracy. Anyway, this study show no significant difference in statistic (X2 = .608, p = .944). comparing before and after using the guideline. Recommendation; Triage nurse may use clinical guideline in abdominal pain triage for outpatient as result of this evidence base to improve their nursing care provision. The use of this guideline shall be continued further study and development.

References

1. Gerhardt R.T., Nelson B.K., Keenan S., Kernan L., MacKersie A., Lane M.S. Derivation of a Clinical Guideline for The Assessment of Nonspecific Abdominal Pain: the Guideline for Abdominal Pain in the ED (GAPEDS) Phase 1 Study. American Journal of Emergency Medicine. 2005; 23(6): 709-717.doi: 10.1016/j.ajem. 2005.01.010

2. Bates C.M., Plevris J.N. Clinical Evaluation of Abdominal Pain in Adults. Medicine. 2013; 41(2): 81-86.

3. Viniol A., Keunecke C., Biroga T., Stadje R., Dornieden K., Bosner S., Donner-Banzhoff D., Haasenritter J., Becker A. Studies of the symptom abdominal pain-a systematic review and meta-analysis. Family Practice. 2014; 31(5): 517-529. doi:10.1093/fampra/cmu036

4. Bhuiya F.A., Pitts S.R., McCaig L.F. Emergency Department Visits for Chest pain and Abdominal Pain: United States, 1999-2008. NCHS Data Brief, 2010; (43): 1-8.

5. Jones M.P. Evaluation and Treatment of Dyspepsia. Postgraduate Medical Journal, 2003; 79(927): 25-29.

6. Dagiely S. An Algorithm for Triaging Commonly Missed Causes of Acute Abdominal Pain. Journal of Emergency Nursing, 2006; 32(1): 91-93. doi:10.1016/j.jen.2005.09.014

7. Gans S.L., Pols M.A., Stoker J., Boermeester M.A. Guideline for The Diagnostic Pathway in Patients with Acute Abdominal Pain. DigestiveSurgery, 2015; 32(1): 23-31. doi: 10.1159/000371583

8. Pavan M.V., Mehta G., Thillainayagam A.V. The Clinical Evaluation of Abdominal Pain in Adults. Medicine. 2009; 37(1): 11-16.

9. Thailand Nursing and Midwifery Council. Nursing and Midwifery Standard. Nonthaburi: Thailand Nursing and Midwifery Council; 2005. (In Thai)

10. Chaweewan T. Clinical Practice Guideline Development. The Thai Journal of Nursing Council. 2005; 20(2): 63-76. (In Thai)

11. Patcharin M. A Gideline for Screening Chest Discomfort-Related Acute Coronary Syndrome at the Emergency Care Unit of a Community Hospital. (Thematic Paper). Walailak University, Nakhon Si Thammarat; 2009. (In Thai)

12. Uracha U. The Development of Guideline for Patient Screebubg by Nurses Working in Outpatient Department of Medical Service at Bureram HospitaL. (Thesis). Khon Kaen University, Khon Kaen; 2011. (In Thai)

13. Adchara W. The Development of Triage System in Emergency Department at Chiang yuen Hospital, Mahasarakham province. (Thesis). Khon Kaen University, Khon Kaen; 2556. (In Thai)

14. Titler M.G., Kleiber C., Steelman V.J., Rakel B.A., Budreau G., Everett L.Q,...Goode C.J. The Iowa Model of Evidence-Based Practice to Promote
Quality Care. Critical Care Nursing Clinics of North America. 2001; 13(4): 497-509.

15. Bumnet S., Rujirat P., Mayuree S., Kotchawan N., Montarut P. The effect of Using Clinical Nursing Practice Guideline for Diabetic Patients with Hypoglycemia, Maharaj Nakron Chaing Mai Hospital. Journal of The Royal Thai Army Nurses. 2016; 17(1): 124-131. (In Thai)
Vol.19 No.3 2018

Downloads

Published

03-01-2019

How to Cite

1.
พิมพ์สังข์ ส, กรรมบุตร จ, นิรัตธราดร ม. The Effect of A Clinical Practice Guideline on Abdominal Pain Triage in An Outpatient. J Royal Thai Army Nurses [Internet]. 2019 Jan. 3 [cited 2024 Apr. 25];19:99-108. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/164632

Issue

Vol. 19 (2018): Supplement Issue : DECEMBER 2018

Section

Research Articles

License

บทความหรือข้อคิดเห็นใดใดที่ปรากฏในวารสารพยาบาลทหารบกเป็นวรรณกรรมของผู้เขียน ซึ่งบรรณาธิการหรือสมาคมพยาบาลทหารบก ไม่จำเป็นต้องเห็นด้วย

บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลทหารบก

The ideas and opinions expressed in the Journal of The Royal Thai Army Nurses are those of the authors and not necessarily those
of the editor or Royal Thai Army Nurses Association.