Development of Clinical Nursing Guideline in Caesarean Section for Prevention of Infection Site at KamalasaiI Hospital

Abstract

This research and development design was aimed to develop the clinical nursing practice guideline (CNPG) based on evidence-based practice (EBP) for the prevention of surgical site infection (SSI) in a patient undergoing a cesarean section  procedure  at  Kamalasia hospital  and  to  study  results  of using CNPG. Research  method composed of 2 phases; The first phase was to develop CNPG base on the conceptual for translating EBP into clinical practice guidelines suggested by Joanna Briggs Institute (JBI). The second phase was to evaluated the implementation of CNPG SSI. The purposive sample were 7 perioperative nurses and 20  patients undergoing operation nurse  replacement procedures. The research instruments were: 1)  CNPG SSI quality agreement of experts using The AGREE II and the nursing practice record form, 2)  surgical patient record form and 3)  prevention assessment SSI form.  The quantitative data were analyzed using descriptive statistic.  The results indicated that: 1)The first phase of the CNPG SSI development were: (1)  preoperative phase including  patient  information  and  knowledge,(2) intraoperative  phase  including  techniques  for  preventing  infection  surgical site, preparing and (3) postoperative phases and transfer patients to ward  monitoring blood circulation, respiratory rate  and  keep  warm. 2)  The  second  phase  of  outcomes  of  CNPG  SSI  evaluation  were: (1) no sign of sternal wound infection in nine patients after 72 hours (2) CNPG SSI evaluated by nurses was 96.29% practical in all steps. This study suggests that the CNPG SSI could be applied appropriately in the hospital and should be improved for updated CNPG currently.