Development of Nursing Practices for Spinal Surgery Patients at Bueng Kan Hospital Bueng Kan Province

Abstract

           This research and development project aims to develop and study the outcomes of using nursing practices for spinal surgery patients at Bueng Kan Hospital by applying holistic nursing theory concepts in the development of nursing practices. The sample group consists of 15 professional surgical nurses and 15 patients undergoing spinal surgery from January to April 2025, selected through purposive sampling. The research tools include the developed nursing practices for spinal surgery patients and data collection instruments such as interviews, general information questionnaires, knowledge and skills questionnaires, and satisfaction questionnaires. Data were collected using interviews, general information questionnaires, knowledge and skills questionnaires, and satisfaction questionnaires. Analyze the data using descriptive statistics and the Wilcoxon signed-rank test.

           The study found that nursing practices developed for spinal surgery patients included
preoperative, intraoperative, and postoperative nursing manuals, as well as a video for instrument handling. After testing the nursing practices for spinal surgery patients, it was found that operating room nurses who received training on the practices had significantly increased knowledge and operational skills compared to before the implementation (p < .01). The overall satisfaction with the use of the guidelines by nurses and patients was high (mean = 4.52, S.D. = 0.43 and mean = 4.53, S.D. = 0.34, respectively).

              Recommendations from this research suggest that clinical outcomes should be studied, such as readmission rates and quality of life. Additionally, the practices should be implemented in the spinal surgery patient care systems of other hospitals, adjusted to fit the context of each location, to further enhance the quality of care.