Nursing Care System Development for Patients with Cleft Lip-Palate and Craniofacial Deformities at Srinagarind Hospital
Siriporn Mongkhonthawornchai MSc*, Suteera Pradubwong MSN*, Darawan Augsornwan MPH*, Sumalee Pongpagatip MA*, Saowaluk Rirattanapong BSc*, Pornpen Prathumwiwattana BSc*, Aorathai Seanbon BSc*, Kanchana Uppan BSc**, Bowornsilp Chowchuen MD***
Affiliation : * Division of Nursing, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand ** Department of Anesthesiology, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand *** Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Background : A holistic nursing care system for patients with cleft lip-palate (CLP) and/or craniofacial deformities was
arranged by the Nursing Department, Srinagarind Hospital, which provides tertiary nursing care. The nursing care system
was developed as per system theory via participating management with action research following the Deming Cycle (PDCA)
divided into 3 phases. Participants included 117 nurses from 8 divisions caring for patients with CLP and 128 parent
caregivers. The research instruments included: 1) situation analysis, 2) meeting and planning and 3) self-administered
questionnaire. Groups were divided according to the age, physical and mental aspects of the patients.
Results : 1) The nursing care system under study comprised psychosocial care, breastfeeding, counseling, providing assistance
in various ways in order to respond to problems of patients/families by the multidisciplinary team. There was also follow-up
to evaluate the results and in order to give patients/families longitudinal and continuing care. 2) Minor research of 4 nursing
sections was initiated. 3) Nursing care standards, manuals, regulations and innovations for the organization of eight nursing
sections were created and implemented.
Conclusion : The present study on developing a nursing care system for patients with CLP helped the team to (a) understand
the overall nursing care system (b) to develop the organization of nurses by conducting research and (c) to create 12 works
for developing care. The latter aimed to establish or create standards, nursing manuals, caring manuals, regulations,
innovations, CDs, portfolios and informative cartoons to be applied systematically and shared across and between communities.
The model for nursing care for patients with CLP in tertiary hospitals was clearly demonstrated.
Keywords : Nursing care system development, Cleft lip-palate and craniofacial deformities, Innovation, Srinagarind Hospital, Tawanchai Cleft Center
