Objective: The purpose of the present study was to develop nursing system for inpatients of Surgical Department Ward.
Materials and Methods: The sample population was 11 nurses and 200 patients. The present study was divided into 3
phases: Phase 1. Situation review about the clinical outcomes, process of care from documents such as nurses note and
interviewing the nurses, patients and families about process of care. Phase 2: focus group with 11 nurses, searching guideline
for specific cares, nursing care system then establish protocol. Phase 3 implementation and evaluation.
Results: patients/family receive appropriate information about breathing exercise, cough, early ambulation after operation and information during stay in hospital. Patients and families satisfaction were 95.04 percent. Nurses satisfaction were 95 percent, no complications.
Conclusion: The nursing system is the dynamic process and using evidence base to develop nursing care. The appropriate
system depends on context and needs of personnel to keep continuous progression and development.

Keywords: Development, Nursing system, Inpatient Surgical Department Ward