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DisdistioarISMIlltid

The Development of Nursing Record Forms In-patient Department at Hospital

for Tropical Diseases

Orathai Haoharn*

M.Sc. (Public Health)

Bhusita Intaraprasong**

Ph.D. (Development Administration)

Jutatip Siiiabutra**

Ph.D. (Mathematics)

ABSTRACT

This action research was aimed toward the development or new Nursing Record Forms and to evaluate the

response of nurses, with regards to the accuracy, completeness clarity and concise of the records. The study was divided

into three steps:I. Preparation step: This step involved a thorough review of existing Nursing Record Forms and the

development of new Nursing Record Forms. 2. Processing step : This step was identified the population of interest,

organized meetings and provided training to explain the procedures, as well as coordinated with nurse administrators and

professional nurses about the Nursing Record Forms and subsequent procedures. 3. Summary step: The results of the study

were analyzed and conclusions were drawn. The identified population groups were consisted of in nursing administrators

and 27 professional nurses. The instrument used for data collection was questionnaires which queried the level of nurse

satisfaction. Level of confidence was analyzed. The coefficient Cronbach's alpha was equal to 0.983. Data were analyzed

using qualitative, descriptive statistics and the Wilcoxon Matched-Pairs Signed-Rank test for the difference in satisfaction.

The study was able to develop a Nursing Care Plan Form and a Progress Note Record Form. The newly developed

Nursing Care Plan Form is more organized and more specific with respect to priority of the diagnosis or symptoms. The

results clearly indicate the target of the diagnosis or symptoms. Date of action and date of amendment were incorporated in

order to clearly identify the time of clinical improvement. Overall, both nurse administrators and professional nurses were

satisfied with the newly developed Nursing Care Plan Form (significance difference p < 0.05), but not the Progress Note

Record Form. However, the newly developed Progress Note Record Form was updated and may be further improved to

satisfy users' needs.

In conclusion, it is recommended that nurse administrators and professional nurses advocate for and

implement the newly developed Nursing Care Plan Form and help improve the Progress Note Record Form, and use These

forms with !patients in every ward so as to coeimue to develop better quality hospital services.

KEYWORD: Development, Nursing Record Forms

Master Degree of Science (Public Health), Faculty of Public Health, Mahidol University.

Association Professor. Faculty of Public Health, Mahidol University.

Assistant Professor, Faculty of Public Health, Mahidol University.

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Potter. Co and Petty GA. Foundation nursing theory and practice : Documentation and Reporting.

St. Louis : C.V. Morby, 1995.

7. Lyer PW and Camp NH. Nursing Documentation: A Nursing Process approach. 2 th ed. St. Louis:

Mosby, 1995.

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