Nursing Diagnosis and Care Planning Competencies of Professional Nurses A Private Hospital

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อารี ชีวเกษมสุข การุณา เกวลิน

Abstract

The purposes of this descriptive study were to examine the professional nurses’ diagnosis and care planning competencies in a private hospital. The sample comprised 32 professional nurses who worked for inpatient units and were selected by purposive sampling. The research tool was a competence appraisal checklist with 3 point rating scale and one open-ended note. The content validity of the tool was between 0.6-1.00, and its reliability was 0.88.The collected data were analysed by using descriptive statistics (frequency,percent, mean, and standard deviation), and content analysis. The findings were as follows. 1) Diagnosis competence of professional nurses was at moderate level. 2) Their care planning competence was also at the moderate level. Moreover, some issues of their both competences were disclosed. 1) Some diagnoses were incorrect and incomplete, no psychosocial diagnoses and diagnoses for discharge planning, without supporting data, and no diagnosis priority. 2) Some of care plans were absent; expected outcomes were unclear and unmeasurable; nursing activities were incomplete and excluded in psychological diagnoses, and uncovered 4 dimensions of nurses’ roles. Finally, 3) handwriting was illegible.

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How to Cite
1.
ชีวเกษมสุขอ, เกวลินก. Nursing Diagnosis and Care Planning Competencies of Professional Nurses A Private Hospital. Journal of The Royal Thai Army Nurses [Internet]. 21Aug.2019 [cited 9Dec.2019];20(2):280-8. Available from: https://www.tci-thaijo.org/index.php/JRTAN/article/view/210443
Section
Research Articles

References

Storch, J.L. Canadian healthcare system. In M. McIntyre & C. McDonald (Eds.), Realities of Canadian nursing: Professional, practice, and power issues (3rd ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins 2010. 

Cheevakasemsook, A. (2006). The study of nursing documentation complexities. International Journal of Nursing Practice, 12, 366-374. 

Ngao, M.D. Assessing barriers to implementation of nursing process among nurses working at Machakos level 5 hospital (Unpublished master of science in medical surgical nursing). The University of Narobi 2015.

Nornaraphan, G. Professional nurses’ utilization of nursing process in Burapha University Hospital. Journal of Faculty of Nursing, Burapha University 2005; 13(2): 26-40. (in Thai).

Komlomlird, U., Cheevakasemsook, A., Namjuntra, R., & Kusolvisitkul, W. The development of a nursing record model in a neonatal intensive care unit of Samutsakhon Hospital. Journal of The Royal Thai Army Nurses 2017; 18, special (May-August): 326-334. (in Thai).

Martin, PA, Dugan, J, Freundl, M, Miller, SE, Phillips, R, & Sharritts, L. (1994). Journal of Continuing Education Nursing. Nurses' attitudes toward nursing process as measured by the Dayton Attitude Scale, 25(1), 35-40.

Håkans, V.B. (2012). Nurses' perception of nursing diagnosis. Nursing informatics, 23, 23-27.

Pratumratch, S. Utilization of nursing process: Professional nurses’ experience 2005 (Master of Education Degree in Nursing Administration). Bangkok: Burapha University; 2005. (in Thai)

Pena S.B., Guimarães, H.C., Bassoli, S.R., Casarin, S.N., Herdman, T.H., & de Barros, A.L. Nursing diagnoses in pemphigus vulgaris: a case study. International Journal of Nursing Knowledge 2013; 24(3): 176-179.

Meechalern, W. Factor predicting utilization of nursing process of nurses in Sara Buri Hospital. Rama Nurs I 2010; 16(3): 406-420. (in Thai).

Chaiyara, S. The Development of a Change of Shift Report ModelBased onNursing Process Conducted by Professional Nursesat Sakon Nakhon Hospital. (Master of Education Degree in Nursing Administration). Bangkok: SUkhothai Thammathirat Open University; 2011. (in Thai)

Hasegawa, T., Ogasawara., C, & Katz, E.C. Measuring diagnostic competency and the analysis of factors influencing competency using written case studies. Int J Nurs Terminol Classif 2007; 18(3): 93-102.

Seanghen, L. An analysis of profession nurses' ability in making nursing diagnosis. (Master of Education Degree in Nursing Administration). Bangkok: Chulalongkorn University; 1987. (in Thai).

Lassamimala, L. An analysis of professional nurses abilities in nursing diagnosis for newborn (Master of Education Degree in Nursing Administration). Bangkok: Chulalongkorn University; 1991. (in Thai)

Bunlikitkul, T., & Singhatanutkit, W. Perception of ability of students nurses at Thai Red Cross College of Nursing in 2007 in creating nursing care plans during the fundamentals of nursing practicum. The Journal of Thai Red Cross of Nursing 2009; 2(1-3): 60-76. (in Thai)

Lerdwithaya, T., & Polputtha, L. Using nursing process in clinical practicum of nursing student. The Asian Graduate Studies Journal 2018; 8(2): 76-88. (in Thai)

Rovinelli, R., & Hambleton, R.K. ON the use of content specialists in the assessment of criterion-referenced test item validity. Dutch Journal of Educational Research 1977; 2: 46-60.

Scott, C. Research on mail survey. (1945). Quoted in Katsingh, W. Principles of research tools construction and analysis. Bangkok: Thai Wattana Limited Publishers. 

Alfaro-LeFevre R. Applying nursing process: A tool for critical thinking (6th ed.). Philadelphia: Lippincott Williams & Wilkins. 2006 

Cheevakasemsook, A. Nursing process and health assessment Theory and application. Nonthaburi: Sukhothai Thammathirat Open University Publication.

Pitupakorn, L. Factors affecting the perofrmace of nursing process among professional nurse at community hospital in Kanchanaburi province (Master of Art Degree in Psychology and Guidance). Bangkok: Silpakorn University; 2010. (in Thai).