Effectiveness of the Nursing Organization Management Model on Nursing Practice for Acute Ischemic Stroke Patients Care at Bo Phloi Hospital, Kanchanaburi Province

Abstract

Objectives: To study the effects of using the McKinsey 7S nursing organization management model on acute ischemic stroke nursing practice at Bo Phloi Hospital, focusing on the roles of professional nurses and patient care before and after implementing the model.

Methods: A quasi-experimental research with one-group pretest posttest design was conducted. The sample included 35 nursing professionals directly involved in patient care and acute stroke patients who received services at Bo Phloi Hospital, 30 medical records of each before and after the intervention. Purposive sampling was used for participant selection. Data were collected using questionnaires and patient medical records. Data analysis involved descriptive statistics and t-tests.

Results: After the implementation of the model, the average scores of nursing knowledge regarding acute ischemic stroke care significantly increased (10.33±3.06 vs. 6.83±4.14, p=0.032). Regarding patient outcomes, the average time to access services after the onset of stroke symptoms decreased (3.34±3.67 hours vs. 5.02±6.01 hours, p=0.003). The average time for surviving acute stroke patients to enter the emergency system also significantly decreased (23.32±8.76 minutes vs. 78.87±14.00 minutes, p<0.001).

Conclusions: The internal management model developed by the nursing organization for acute ischemic stroke care effectively enhanced nursing practice, leading to improved quality and efficiency in patient care. These findings highlight the model’s potential to achieve desired outcomes in both patient care quality and time management.